| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $4,416.13 | $11,500.00 | $26,542.00 | |
Asuris Northwest Health
| Professional | $3,870.00 | $3,870.00 | $3,870.00 | |
Cigna
| Professional | $2,070.46 | $2,621.86 | $3,750.93 |