| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $955.31 | $2,015.58 | $2,015.58 | |
Asuris Northwest Health
| Professional | $3,048.26 | $3,048.26 | $3,048.26 | |
Cigna
| Professional | $146.96 | $146.96 | $184.79 |