| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $88,628.20 | $141,360.00 | $248,935.00 | |
Asuris Northwest Health
| Facility | $800.00 | $2,616.00 | $6,746.00 | |
Cigna
| Facility | $81,951.08 | $109,914.89 | $184,133.13 | |
Premera BCBS
| Facility | $800.00 | $5,350.00 | $6,746.00 | |
United
| Facility | $3,775.00 | $88,542.55 | $241,926.90 |