| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $677.00 | $677.00 | $677.00 | |
Asuris Northwest Health
| Professional | $317.00 | $418.89 | $418.89 | |
Cigna
| Professional | $73.75 | $98.57 | $186.22 | |
Molina
| Professional | $50.00 | $50.00 | $75.00 | |
Pacific Source
| Facility | $77.72 | $136.22 | $160.13 |