| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $148.76 | $165.92 | $165.92 | |
Asuris Northwest Health
| Professional | $92.63 | $92.63 | $92.63 | |
Cigna
| Professional | $126.75 | $126.75 | $158.44 | |
Pacific Source
| Facility | $180.80 | $180.80 | $244.88 | |
United
| Facility | $74.38 | $108.71 | $108.71 |