| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $8,138.20 | $8,138.20 | $26,542.00 | |
Asuris Northwest Health
| Professional | $1,930.78 | $2,625.27 | $2,625.27 | |
Cigna
| Professional | $1,568.16 | $1,657.43 | $1,985.78 | |
Molina
| Professional | $50.00 | $50.00 | $75.00 | |
Pacific Source
| Facility | $588.66 | $768.49 | $839.51 |