| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11,481.54 | $11,481.54 | $11,481.54 | |
Kaiser Permanente
| Facility | $12,589.25 | $35,481.34 | $60,255.96 | |
Pacific Source
| Facility | $6,760.83 | $31,622.78 | $31,622.78 | |
Regence BlueShield
| Facility | $26,915.35 | $37,153.52 | $70,794.58 | |
Regence BlueShield
| Professional | $6,456.54 | $6,456.54 | $6,456.54 | |
United
| Facility | $1,995.26 | $44,668.36 | $77,624.71 |