| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $55.00 | $55.00 | $55.00 | |
Asuris Northwest Health
| Professional | $6,244.00 | $6,244.00 | $6,244.00 | |
Cigna
| Professional | $1,768.27 | $1,868.92 | $2,239.17 |