| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $4,702.32 | $12,000.00 | $12,000.00 | |
Asuris Northwest Health
| Professional | $2,273.61 | $6,190.86 | $6,324.33 | |
Cigna
| Professional | $795.85 | $1,697.91 | $6,434.03 |