| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $11,500.00 | $16,394.00 | $16,394.00 | |
Asuris Northwest Health
| Professional | $3,635.00 | $3,635.00 | $3,635.00 | |
Cigna
| Professional | $1,016.86 | $1,074.74 | $1,287.66 |