| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $613,049.73 | $1,082,520.00 | $1,125,820.00 | |
Aetna
| Professional | $557,317.93 | $613,049.73 | $654,925.00 | |
Asuris Northwest Health
| Facility | $484,690.30 | $872,442.54 | $1,357,132.84 | |
Asuris Northwest Health
| Professional | $558,216.90 | $608,057.69 | $633,974.92 | |
Pacific Source
| Facility | $79,999.20 | $99,999.00 | $99,999.00 | |
Premera BCBS
| Facility | $436,221.27 | $775,504.48 | $1,357,132.84 | |
Premera BCBS
| Professional | $518,344.27 | $573,169.14 | $633,974.92 |