| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $55.00 | $55.00 | $55.00 | |
Asuris Northwest Health
| Professional | $9,087.00 | $9,087.00 | $9,087.00 | |
Cigna
| Professional | $1,858.11 | $1,963.88 | $2,352.94 |