| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $3,674.54 | $6,509.35 | $6,509.35 | |
Asuris Northwest Health
| Professional | $1,500.31 | $1,500.31 | $1,500.31 | |
Cigna
| Professional | $394.28 | $413.80 | $495.78 | |
Molina
| Professional | $60.00 | $60.00 | $60.00 | |
Pacific Source
| Facility | $1,035.99 | $2,073.48 | $2,901.90 |