| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $63.29 | $1,974.91 | $1,974.91 | |
Asuris Northwest Health
| Professional | $139.00 | $165.00 | $165.00 | |
Cigna
| Professional | $32.79 | $32.79 | $41.25 | |
Pacific Source
| Facility | $31.01 | $41.27 | $47.60 |