| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89,125.09 | $134,896.29 | $223,872.11 | |
Pacific Source
| Facility | $66,069.34 | $83,176.38 | $100,000.00 | |
Premera BCBS
| Facility | $81,283.05 | $128,824.96 | $190,546.07 | |
Regence BlueShield
| Facility | $89,125.09 | $120,226.44 | $162,181.01 | |
United
| Facility | $41,686.94 | $123,026.88 | $169,824.37 |