| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $95.60 | $106.63 | $160.91 | |
Asuris Northwest Health
| Professional | $467.87 | $467.87 | $467.87 | |
Cigna
| Professional | $42.42 | $44.52 | $53.34 | |
Kaiser Permanente
| Professional | $300.48 | $300.48 | $300.48 | |
Pacific Source
| Facility | $68.80 | $68.80 | $68.80 |