| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,064.40 | $6,470.00 | $22,024.00 | |
Aetna
| Professional | $474.00 | $1,200.00 | $3,781.00 | |
Asuris Northwest Health
| Professional | $21.10 | $21.10 | $27.64 | |
Cigna
| Facility | $644.92 | $1,110.00 | $1,110.00 | |
Pacific Source
| Facility | $79,999.20 | $79,999.20 | $79,999.20 | |
United
| Facility | $140.00 | $588.00 | $5,793.00 |