| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72,012.60 | $114,858.00 | $202,266.00 | |
Asuris Northwest Health
| Facility | $43,227.38 | $98,701.78 | $142,780.45 | |
Pacific Source
| Facility | $51,543.43 | $77,490.60 | $92,468.34 | |
Premera BCBS
| Facility | $27,753.10 | $90,330.16 | $138,973.81 | |
Regence BlueShield
| Facility | $69,752.92 | $102,124.15 | $298,250.78 | |
United
| Facility | $3,775.00 | $71,943.06 | $196,571.70 |