| 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 | $2,109.44 | $2,109.44 | $2,109.44 | |
Cigna
| Professional | $1,709.73 | $1,807.05 | $2,165.06 |