| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $13,152.00 | $26,542.00 | $26,542.00 | |
Asuris Northwest Health
| Professional | $3,126.00 | $3,126.00 | $3,126.00 | |
Cigna
| Professional | $837.17 | $884.82 | $1,060.11 |