| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $175,781.00 | $280,367.00 | $493,726.00 | |
Asuris Northwest Health
| Facility | $800.00 | $2,616.00 | $6,746.00 | |
Cigna
| Facility | $162,537.97 | $218,000.09 | $365,201.08 | |
Premera BCBS
| Facility | $800.00 | $5,350.00 | $6,746.00 | |
United
| Facility | $3,775.00 | $175,611.18 | $479,826.57 |