| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $282.72 | $359.47 | $359.47 | |
Asuris Northwest Health
| Professional | $417.00 | $418.15 | $418.15 | |
Cigna
| Professional | $119.43 | $119.43 | $150.16 | |
Pacific Source
| Facility | $112.89 | $154.58 | $177.48 |