| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $70.00 | $97.89 | $100.00 | |
Cigna
| Professional | $32.21 | $32.21 | $40.27 | |
Pacific Source
| Facility | $161.56 | $161.56 | $161.56 |
Ffs - Not Available
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $70.00 | $97.89 | $100.00 | |
Cigna
| Professional | $32.21 | $32.21 | $40.27 | |
Pacific Source
| Facility | $161.56 | $161.56 | $161.56 |