| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $55.00 | $55.00 | $26,050.70 | |
Asuris Northwest Health
| Professional | $1,122.00 | $1,309.61 | $8,263.84 | |
Cigna
| Professional | $506.39 | $641.24 | $930.84 | |
Pacific Source
| Facility | $216.03 | $313.50 | $368.50 |