Our fees

We are a Direct Pay Clinic

We are a Direct Pay Clinic and payment for all services is due at the time-of-service.  We accept cash, check or credit card and you’ll receive up to 20% off all services.   If you plan on submitting for insurance reimbursement, we will provide you with a detailed receipt which contains the information you’ll need to submit to your insurance company for direct reimbursement.  It’s easier than you think, and many private health plans like Premera, Lifewise, Aetna, Cigna, Regence, and Kaiser may offer benefits for our services.  Many of our patients discover that they actually save money when paying directly and submitting to their insurance company on their own.  We can provide you with a worksheet that will help to clarify the benefits you have at our office.

Auto and Work Injury Claims

If you have an OPEN claim we will submit all bills and documentation requests directly to your insurance company on your behalf. 

All insurance payments made to The Vital Energy Center will be applied to your account upon receipt.

Any portion of the bill not covered by your insurance company will be your responsibility.

If you do not have an open/active claim for personal injury protection (PIP) and/or have a 3rd Party Claim, we require payment at the time-of-service.


Our fees:  when paid at the time-of-service.  

Chiropractic care with Dr. Kohler

New member Initial Visit:  130 – 300.   60 – 90 minutes:    In-depth consultation with a detailed review of your health concerns including all relevant injuries and traumas, the results of past treatment, and any questions or concerns you would like to discuss.     You’ll then receive a personalized, comprehensive and detailed evaluation to assess the condition of your spine and extremities,  the function of your neuromuscular system and the cause of your health concerns.  All previous X-ray and MRI findings will be reviewed and additional images may be recommended.  The visit will conclude with a review of the relevant findings and Dr. Kohler’s initial assessment of your condition.   If he can help, he’ll outline a customized treatment plan designed to help you improve your condition and achieve your health and wellness objectives.  If he is unable to help,  he will let you know that too and help you find a provider that can better meet your needs. The initial visit fee is length of visit, the number of areas assessed, and the complexity of your history and current condition.  This fee is for the consultation, evaluation and treatment recommendations only and does not include x-rays (if necessary) or any other services or treatment.

New member Atlas Orthogonal package:  415.   60 minutes.  This visit includes:  An in-depth consultation with a detailed review of your health concerns including all relevant injuries and traumas, the results of past treatment, and any questions or concerns you would like to discuss.  A personalized and focused evaluation for Atlas Subluxation Complex including the  Atlas Orthogonal X-ray series and Computerized X-ray analysis will be performed.  Dr. Kohler will review your exam findings and recommendations for care.  You will then receive your first Atlas Orthogonal adjustment and self-care instructions.  This visit is for the Atlas Orthogonal evaluation, Atlas X-rays series and first atlas correction only and does not include any other services or areas of evaluation or treatment.

Regular visits:  65 – 115.    >>  10 – 25 minutes one-on-one with Dr. Kohler.  Includes one or more of the following: atlas orthogonal adjustments, spine & extremity adjustments, applied kinesiology manual muscle testing & neuromuscular rehabilitation, spinal traction, vibracussor massage, exercises &  self-care education.  The visit fee is based on time and the number of services provided.  

Re-evaluations & Coordination of care:  65 – 150    >>  15 – 30 minutes:  evaluation of new injuries and conditions, progress evaluations, and for the coordination of care.


Digital X-rays & Computerized Analysis:

Atlas Orthogonal Set (4 films):    200

Cervical Series including AO series (up to 8 films):   320

Thoracic Spine: middle back (2 films):    120

Lumbar: lower back (2 films):    120

Any region: (1 film):    65


Massage & Manual Therapy:  Gift Certificates available!

Manual Ligament Therapy with Stephen Wadsworth LMT:  ½ hour= 50     1 hour= 95

Massage Therapy/Relaxation Massage:   1 hour= 80  1.5 hour = 120

Massage special:   =  57    >>  Your first 1- hour massage with any of our amazing therapists!


If you have any questions, please give us a call at 206-860-9090, or send us an email, we’re happy to help!

Thank You and we look forward to welcoming you to The Vital Energy Center!

Unless you have an open Auto or Work injury claim, all

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