| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $1,358.31 | $11,500.00 | $16,394.00 | |
Asuris Northwest Health
| Professional | $3,225.29 | $3,225.29 | $3,225.29 | |
Cigna
| Professional | $2,609.52 | $2,758.06 | $3,304.47 |