| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $50.54 | $90.00 | $145.00 | |
Asuris Northwest Health
| Professional | $248.00 | $248.00 | $248.00 | |
Cigna
| Professional | $12.85 | $27.23 | $34.47 | |
Pacific Source
| Facility | $10.17 | $14.07 | $35.22 |