| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $2,800.00 | $2,800.00 | $22,807.05 | |
Asuris Northwest Health
| Professional | $5,070.50 | $5,070.50 | $5,235.97 | |
Cigna
| Professional | $1,821.66 | $3,859.15 | $4,886.89 | |
Kaiser Permanente
| Facility | $1,128.25 | $2,188.17 | $9,096.45 | |
Kaiser Permanente
| Professional | $981.25 | $2,078.77 | $6,131.83 | |
Pacific Source
| Facility | $1,443.50 | $1,762.15 | $2,000.62 |