| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $80.00 | $105.12 | $128.54 | |
Asuris Northwest Health
| Professional | $251.34 | $251.34 | $251.34 | |
Cigna
| Professional | $54.16 | $56.84 | $68.09 | |
Kaiser Permanente
| Professional | $195.60 | $195.60 | $195.60 |