| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $55.00 | $2,557.00 | $3,459.78 | |
Asuris Northwest Health
| Professional | $7,624.00 | $7,624.00 | $7,624.00 | |
Cigna
| Professional | $1,670.66 | $3,539.26 | $4,481.80 | |
Pacific Source
| Facility | $1,260.77 | $1,703.14 | $1,885.38 |