| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $80.00 | $2,074.00 | $2,074.00 | |
Asuris Northwest Health
| Professional | $80.33 | $80.33 | $522.27 | |
Cigna
| Professional | $581.00 | $581.00 | $730.57 | |
Molina
| Professional | $45.00 | $50.00 | $75.00 |