| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53,401.50 | $85,174.10 | $149,992.00 | |
Asuris Northwest Health
| Facility | $800.00 | $2,616.00 | $6,746.00 | |
Cigna
| Facility | $49,378.30 | $66,227.44 | $110,946.43 | |
Premera BCBS
| Facility | $800.00 | $5,350.00 | $6,746.00 | |
United
| Facility | $3,775.00 | $53,349.88 | $145,769.13 |