| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $10,259.83 | $18,009.95 | $26,542.00 | |
Asuris Northwest Health
| Professional | $6,677.33 | $6,677.33 | $6,677.33 | |
Cigna
| Professional | $1,638.53 | $3,471.19 | $4,395.62 | |
Molina
| Professional | $75.00 | $75.00 | $75.00 | |
Pacific Source
| Facility | $1,278.10 | $1,573.20 | $1,783.54 |