| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $55.00 | $2,047.50 | $2,047.50 | |
Asuris Northwest Health
| Professional | $1,200.29 | $1,434.72 | $1,434.72 | |
Cigna
| Professional | $537.38 | $537.38 | $632.22 |