| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37,494.10 | $59,802.20 | $105,312.00 | |
Asuris Northwest Health
| Facility | $800.00 | $2,616.00 | $6,746.00 | |
Cigna
| Facility | $34,669.35 | $46,499.42 | $77,897.39 | |
Premera BCBS
| Facility | $800.00 | $5,350.00 | $6,746.00 | |
United
| Facility | $3,775.00 | $37,457.86 | $102,347.01 |