| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $55.00 | $4,870.85 | $5,000.00 | |
Asuris Northwest Health
| Professional | $10,396.14 | $10,396.14 | $10,396.14 | |
Cigna
| Professional | $5,197.26 | $5,493.10 | $6,581.36 | |
Pacific Source
| Facility | $1,891.49 | $2,503.96 | $2,891.83 |