| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $210.14 | $2,000.00 | $12,000.00 | |
Asuris Northwest Health
| Professional | $525.38 | $2,135.81 | $2,289.21 | |
Cigna
| Professional | $103.42 | $220.64 | $2,309.40 | |
Molina
| Professional | $75.00 | $75.00 | $75.00 | |
Pacific Source
| Facility | $87.20 | $792.30 | $931.30 |