| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $55.00 | $55.00 | $4,466.45 | |
Asuris Northwest Health
| Professional | $7,309.74 | $7,309.74 | $7,309.74 | |
Cigna
| Professional | $4,342.39 | $4,589.57 | $5,498.83 | |
Molina
| Professional | $50.00 | $50.00 | $75.00 | |
Pacific Source
| Facility | $1,680.74 | $2,077.65 | $2,442.15 |