| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $309.00 | $378.06 | $378.06 | |
Asuris Northwest Health
| Professional | $561.26 | $602.61 | $602.61 | |
Cigna
| Professional | $246.10 | $246.10 | $309.45 | |
Pacific Source
| Facility | $172.12 | $238.55 | $256.61 |