| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $126.84 | $1,974.91 | $1,974.91 | |
Asuris Northwest Health
| Professional | $196.00 | $196.00 | $196.00 | |
Cigna
| Professional | $53.82 | $53.82 | $67.68 | |
Pacific Source
| Facility | $51.45 | $68.12 | $81.59 |