| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.15 | $0.15 | $0.36 | |
Aetna
| Professional | $0.14 | $0.15 | $0.18 | |
Asuris Northwest Health
| Facility | $0.80 | $100.00 | $100.00 | |
Asuris Northwest Health
| Professional | $0.14 | $0.70 | $50.00 | |
Cigna
| Professional | $161.63 | $161.63 | $202.03 | |
Molina
| Professional | $50.00 | $50.00 | $50.00 | |
Pacific Source
| Facility | $1.83 | $1.83 | $79,999.20 | |
United
| Professional | $0.61 | $0.72 | $0.72 | |
Wellpoint
| Professional | $0.14 | $0.14 | $0.14 |