| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.68 | $7,920.26 | $27,982.24 | |
Asuris Northwest Health
| Facility | $45.97 | $80.00 | $80.00 | |
Kaiser Permanente
| Facility | $13.02 | $26.91 | $35.26 | |
Pacific Source
| Facility | $19.60 | $24.85 | $26.80 | |
Premera BCBS
| Facility | $18.28 | $18.28 | $18.57 |