| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,337.00 | $3,361.00 | $3,778.00 | |
Asuris Northwest Health
| Facility | $650.00 | $7,738.00 | $8,000.00 | |
Cigna
| Facility | $625.00 | $1,623.00 | $2,012.00 | |
Pacific Source
| Facility | $840.00 | $1,030.00 | $1,500.00 | |
Regence BlueShield
| Facility | $650.00 | $650.00 | $2,025.00 | |
United
| Facility | $832.00 | $1,199.00 | $4,765.00 |