| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $11,500.00 | $12,000.00 | $12,000.00 | |
Asuris Northwest Health
| Professional | $478.52 | $478.52 | $492.17 | |
Cigna
| Professional | $421.99 | $460.40 | $551.61 |