| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57,551.10 | $91,792.70 | $161,647.00 | |
Asuris Northwest Health
| Facility | $34,426.74 | $74,746.05 | $107,994.75 | |
Pacific Source
| Facility | $32,988.64 | $61,023.60 | $64,722.00 | |
Premera BCBS
| Facility | $30,907.72 | $65,291.13 | $102,943.79 | |
Regence BlueShield
| Facility | $52,273.72 | $76,321.28 | $215,249.00 | |
United
| Facility | $3,775.00 | $57,495.49 | $157,096.26 |