| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $9.60 | $9.60 | $10.94 | |
Asuris Northwest Health
| Professional | $21.45 | $21.45 | $21.45 | |
Pacific Source
| Facility | $79,999.20 | $79,999.20 | $79,999.20 | |
United
| Professional | $15.75 | $17.80 | $18.89 |