| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $12,131.00 | $26,542.00 | $26,542.00 | |
Asuris Northwest Health
| Professional | $2,790.76 | $3,018.40 | $3,018.40 | |
Cigna
| Professional | $1,033.24 | $2,188.89 | $2,771.82 |