| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $80.00 | $116.67 | $200.00 | |
Asuris Northwest Health
| Professional | $228.13 | $228.13 | $228.13 | |
Cigna
| Professional | $488.52 | $702.95 | $846.37 |
Icm/Ilr Remote Tech Serv
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $80.00 | $116.67 | $200.00 | |
Asuris Northwest Health
| Professional | $228.13 | $228.13 | $228.13 | |
Cigna
| Professional | $488.52 | $702.95 | $846.37 |