| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $84,363.60 | $134,558.00 | $236,957.00 | |
Asuris Northwest Health
| Facility | $31,732.85 | $116,615.58 | $187,716.49 | |
Pacific Source
| Facility | $58,920.55 | $80,119.05 | $92,922.58 | |
Premera BCBS
| Facility | $24,995.79 | $112,435.33 | $177,477.56 | |
Regence BlueShield
| Facility | $89,078.52 | $119,076.24 | $162,042.19 | |
United
| Facility | $3,775.00 | $84,282.13 | $219,557.27 |