| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $710.32 | $1,185.80 | $1,185.80 | |
Asuris Northwest Health
| Professional | $2,208.00 | $2,208.00 | $2,208.00 | |
Cigna
| Professional | $416.21 | $523.35 | $876.04 |