| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $85.00 | $99.11 | $128.66 | |
Asuris Northwest Health
| Professional | $173.00 | $173.00 | $177.19 | |
Cigna
| Professional | $65.14 | $81.42 | $164.64 | |
Pacific Source
| Facility | $47.04 | $62.13 | $73.03 |