| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $134.19 | $1,974.91 | $1,974.91 | |
Asuris Northwest Health
| Professional | $236.00 | $236.59 | $236.59 | |
Cigna
| Professional | $49.21 | $49.21 | $61.87 | |
Pacific Source
| Facility | $46.55 | $62.22 | $76.84 |