| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $60.00 | $103.41 | $103.41 | |
Asuris Northwest Health
| Professional | $161.00 | $161.76 | $161.76 | |
Cigna
| Professional | $39.97 | $39.97 | $50.27 | |
Pacific Source
| Facility | $37.79 | $50.73 | $61.88 |