| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $584.00 | $1,121.11 | $1,121.11 | |
Asuris Northwest Health
| Professional | $2,052.00 | $2,052.00 | $2,052.00 | |
Cigna
| Professional | $416.72 | $524.00 | $877.12 |