| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $758.35 | $12,000.00 | $12,000.00 | |
Asuris Northwest Health
| Professional | $2,122.00 | $2,156.94 | $2,324.05 | |
Cigna
| Professional | $602.75 | $1,122.28 | $2,265.37 |