| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $55.00 | $220.38 | $3,181.37 | |
Asuris Northwest Health
| Professional | $458.64 | $1,793.57 | $1,793.57 | |
Cigna
| Professional | $288.58 | $305.01 | $365.44 |
Iv Us Non-C Vsl Dx Eval&/Ther Ivntj Ea Vsl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $55.00 | $220.38 | $3,181.37 | |
Asuris Northwest Health
| Professional | $458.64 | $1,793.57 | $1,793.57 | |
Cigna
| Professional | $288.58 | $305.01 | $365.44 |