| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $72.00 | $90.00 | $90.00 | |
Cigna
| Professional | $24.37 | $24.37 | $30.46 |
Doxepin
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $72.00 | $90.00 | $90.00 | |
Cigna
| Professional | $24.37 | $24.37 | $30.46 |