| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $692.99 | $12,000.00 | $12,000.00 | |
Asuris Northwest Health
| Professional | $952.00 | $3,174.88 | $3,174.88 | |
Cigna
| Professional | $191.49 | $408.53 | $2,439.88 | |
Pacific Source
| Facility | $147.03 | $955.65 | $1,026.80 |