| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $1,170.94 | $1,306.04 | $1,967.58 | |
Asuris Northwest Health
| Professional | $6,008.06 | $6,008.06 | $6,008.06 | |
Cigna
| Professional | $1,025.28 | $1,076.03 | $1,289.21 | |
Kaiser Permanente
| Facility | $950.50 | $2,767.63 | $7,309.07 | |
Kaiser Permanente
| Professional | $3,804.64 | $3,804.64 | $3,804.64 | |
Pacific Source
| Facility | $1,780.86 | $1,780.86 | $1,780.86 |