| 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 | $2,446.67 | $28,592.13 | $28,592.13 | |
Cigna
| Professional | $1,939.78 | $2,456.37 | $36,054.39 |