| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $55.00 | $3,050.13 | $5,827.20 | |
Asuris Northwest Health
| Professional | $7,454.23 | $7,454.23 | $7,454.23 | |
Cigna
| Professional | $2,829.20 | $5,993.59 | $7,589.76 | |
Pacific Source
| Facility | $2,266.48 | $3,000.48 | $3,134.26 |