| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $201,117.00 | $320,776.00 | $564,888.00 | |
Asuris Northwest Health
| Facility | $106,471.05 | $257,978.11 | $387,437.10 | |
Pacific Source
| Facility | $97,799.02 | $99,999.00 | $99,999.00 | |
Premera BCBS
| Facility | $53,555.17 | $241,625.47 | $352,438.20 | |
Regence BlueShield
| Facility | $176,893.75 | $257,821.30 | $373,244.94 | |
United
| Facility | $3,775.00 | $200,922.35 | $548,984.88 |