| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $163.31 | $489.68 | $489.68 | |
Asuris Northwest Health
| Professional | $371.46 | $433.18 | $433.18 | |
Cigna
| Professional | $134.49 | $161.13 | $269.72 | |
Pacific Source
| Facility | $126.94 | $172.27 | $206.04 |