| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $111.58 | $1,974.91 | $1,974.91 | |
Asuris Northwest Health
| Professional | $582.00 | $582.00 | $582.00 | |
Cigna
| Professional | $40.49 | $40.49 | $50.92 | |
Pacific Source
| Facility | $38.28 | $51.09 | $61.88 |