| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $61.07 | $80.00 | $90.00 | |
Asuris Northwest Health
| Professional | $119.42 | $119.42 | $119.42 | |
Cigna
| Professional | $30.30 | $31.80 | $38.10 | |
Kaiser Permanente
| Professional | $73.91 | $73.91 | $73.91 |