| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $32.90 | $82.28 | $195.75 | |
Asuris Northwest Health
| Professional | $26.93 | $26.93 | $29.92 | |
Cigna
| Professional | $34.28 | $34.28 | $42.85 | |
Pacific Source
| Facility | $29.92 | $29.92 | $66.05 | |
Pacific Source
| Professional | $33.51 | $33.51 | $33.51 | |
Premera BCBS
| Facility | $29.92 | $44.88 | $82.28 | |
Premera BCBS
| Professional | $26.93 | $26.93 | $26.93 |