| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $160,122.00 | $255,391.00 | $449,744.00 | |
Asuris Northwest Health
| Facility | $92,497.95 | $211,202.09 | $305,521.65 | |
Pacific Source
| Facility | $98,725.55 | $99,999.00 | $99,999.00 | |
Premera BCBS
| Facility | $60,712.05 | $197,222.72 | $297,376.20 | |
Regence BlueShield
| Facility | $149,257.34 | $221,231.25 | $359,938.47 | |
United
| Facility | $3,775.00 | $159,967.41 | $437,082.72 |