| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $214.60 | $2,000.00 | $16,394.00 | |
Asuris Northwest Health
| Professional | $638.00 | $687.43 | $687.43 | |
Cigna
| Professional | $100.73 | $127.56 | $670.55 | |
Pacific Source
| Facility | $50.92 | $214.89 | $252.59 |