| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93,325.43 | $138,038.43 | $234,422.88 | |
Pacific Source
| Facility | $72,443.60 | $93,325.43 | $97,723.72 | |
Premera BCBS
| Facility | $72,443.60 | $117,489.76 | $169,824.37 | |
Regence BlueShield
| Facility | $77,624.71 | $109,647.82 | $154,881.66 | |
United
| Facility | $43,651.58 | $125,892.54 | $177,827.94 |