| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $834.95 | $2,968.44 | $2,968.44 | |
Asuris Northwest Health
| Professional | $4,357.89 | $4,357.89 | $4,357.89 | |
Cigna
| Professional | $786.29 | $786.29 | $988.70 | |
Molina
| Professional | $50.00 | $75.00 | $75.00 | |
Pacific Source
| Facility | $735.96 | $1,017.73 | $1,432.08 |