| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $55.00 | $2,795.65 | $3,181.37 | |
Asuris Northwest Health
| Professional | $603.29 | $1,793.57 | $1,793.57 | |
Cigna
| Professional | $385.23 | $407.16 | $487.83 |