| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $55.00 | $2,800.53 | $5,661.36 | |
Asuris Northwest Health
| Professional | $7,378.98 | $7,378.98 | $7,378.98 | |
Cigna
| Professional | $2,644.14 | $5,601.55 | $7,093.32 | |
Molina
| Professional | $75.00 | $75.00 | $75.00 | |
Pacific Source
| Facility | $2,071.23 | $2,713.77 | $2,984.18 |