| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $55.00 | $2,000.00 | $5,261.45 | |
Asuris Northwest Health
| Professional | $4,273.00 | $4,273.00 | $4,273.00 | |
Cigna
| Professional | $2,718.42 | $2,873.16 | $3,442.37 |