| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $55.00 | $55.00 | $90.00 | |
Asuris Northwest Health
| Professional | $150.94 | $152.21 | $322.23 | |
Cigna
| Professional | $59.90 | $75.84 | $348.20 | |
Pacific Source
| Facility | $30.15 | $114.00 | $134.80 |