| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $55.00 | $55.00 | $4,222.77 | |
Asuris Northwest Health
| Professional | $5,494.34 | $5,494.34 | $5,494.34 | |
Cigna
| Professional | $2,040.78 | $4,323.34 | $5,474.70 |