| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $5,811.00 | $26,542.00 | $26,542.00 | |
Asuris Northwest Health
| Professional | $2,562.42 | $2,562.42 | $2,562.42 | |
Cigna
| Professional | $951.63 | $2,016.01 | $2,552.90 |