| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,677.35 | $11,481.54 | $28,183.83 | |
Aetna
| Professional | $1,412.54 | $3,801.89 | $28,183.83 | |
Kaiser Permanente
| Facility | $17,378.01 | $77,624.71 | $138,038.43 | |
Pacific Source
| Facility | $17,378.01 | $44,668.36 | $44,668.36 | |
Regence BlueShield
| Facility | $36,307.81 | $52,480.75 | $100,000.00 | |
United
| Facility | $19,498.45 | $60,255.96 | $102,329.30 |