| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $358.29 | $1,069.90 | $1,069.90 | |
Asuris Northwest Health
| Professional | $876.00 | $876.00 | $876.00 | |
Cigna
| Professional | $210.16 | $210.16 | $264.26 | |
Pacific Source
| Facility | $157.94 | $212.22 | $240.72 | |
United
| Facility | $22.41 | $69.30 | $99.17 |