| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $1,767.69 | $11,500.00 | $26,542.00 | |
Asuris Northwest Health
| Professional | $4,292.00 | $4,714.54 | $4,714.54 | |
Cigna
| Professional | $2,719.78 | $3,444.09 | $5,169.59 |