| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $186,638.00 | $297,683.00 | $524,221.00 | |
Asuris Northwest Health
| Facility | $72,899.61 | $238,466.95 | $388,415.48 | |
Pacific Source
| Facility | $97,799.02 | $99,999.00 | $99,999.00 | |
Premera BCBS
| Facility | $61,843.99 | $232,713.57 | $338,692.52 | |
Regence BlueShield
| Facility | $165,277.64 | $238,272.11 | $310,647.69 | |
United
| Facility | $3,775.00 | $186,457.72 | $485,727.46 |