| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $347.73 | $442.12 | $442.12 | |
Asuris Northwest Health
| Professional | $278.00 | $303.05 | $303.05 | |
Cigna
| Professional | $91.75 | $91.75 | $115.37 | |
Pacific Source
| Facility | $86.73 | $116.59 | $138.04 |