| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $99.61 | $1,974.91 | $1,974.91 | |
Asuris Northwest Health
| Professional | $141.00 | $176.00 | $176.00 | |
Cigna
| Professional | $34.34 | $34.34 | $43.18 | |
Pacific Source
| Facility | $32.46 | $43.23 | $50.32 |