| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $116.35 | $230.50 | $237.78 | |
Asuris Northwest Health
| Professional | $541.32 | $541.32 | $541.32 | |
Cigna
| Professional | $160.00 | $338.95 | $429.22 | |
Pacific Source
| Facility | $108.04 | $148.19 | $159.80 |