| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $55.00 | $520.05 | $2,806.60 | |
Asuris Northwest Health
| Professional | $1,869.46 | $3,558.35 | $3,853.58 | |
Cigna
| Professional | $327.71 | $879.12 | $3,444.34 |