| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $7,738.55 | $12,000.00 | $12,000.00 | |
Asuris Northwest Health
| Professional | $808.85 | $808.85 | $808.85 | |
Cigna
| Professional | $303.29 | $642.51 | $813.62 |