| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $55.00 | $5,623.94 | $9,980.60 | |
Asuris Northwest Health
| Professional | $3,147.21 | $11,431.36 | $11,431.36 | |
Cigna
| Professional | $197.15 | $420.60 | $9,752.99 | |
Pacific Source
| Facility | $164.45 | $3,364.14 | $3,954.34 |