| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $70.00 | $137.56 | $150.35 | |
Asuris Northwest Health
| Professional | $283.70 | $283.70 | $283.70 | |
Cigna
| Professional | $112.10 | $112.10 | $134.30 | |
Molina
| Professional | $45.00 | $50.00 | $75.00 |