| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $322.13 | $678.35 | $678.35 | |
Asuris Northwest Health
| Professional | $779.17 | $825.93 | $825.93 | |
Cigna
| Professional | $268.58 | $268.58 | $337.73 | |
Molina
| Professional | $50.00 | $75.00 | $75.00 | |
Pacific Source
| Facility | $234.01 | $314.39 | $363.80 |