| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.57 | $36.01 | $36.01 | |
Asuris Northwest Health
| Facility | $100.00 | $10,000.00 | $10,000.00 | |
Asuris Northwest Health
| Professional | $22.50 | $100.00 | $10,000.00 | |
Molina
| Professional | $50.00 | $50.00 | $80.00 | |
Pacific Source
| Facility | $37.20 | $37.20 | $37.20 | |
Premera BCBS
| Facility | $10,000.00 | $10,000.00 | $10,000.00 | |
Premera BCBS
| Professional | $10,000.00 | $10,000.00 | $10,000.00 |