| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $217.66 | $490.77 | $490.77 | |
Asuris Northwest Health
| Professional | $1,061.64 | $1,195.82 | $1,195.82 | |
Cigna
| Professional | $512.05 | $512.05 | $643.88 | |
Molina
| Professional | $50.00 | $75.00 | $75.00 | |
Pacific Source
| Facility | $468.03 | $641.90 | $710.01 |