| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $130.57 | $197.84 | $228.35 | |
Asuris Northwest Health
| Professional | $406.32 | $406.32 | $406.32 | |
Cigna
| Professional | $152.93 | $191.16 | $386.55 | |
Pacific Source
| Facility | $101.43 | $153.93 | $164.46 |