| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $532.44 | $532.44 | $532.44 | |
Asuris Northwest Health
| Professional | $623.53 | $657.30 | $657.30 | |
Cigna
| Professional | $212.17 | $240.96 | $285.04 | |
Molina
| Professional | $50.00 | $50.00 | $75.00 | |
Pacific Source
| Facility | $172.36 | $229.81 | $248.57 |