| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $90.00 | $139.63 | $139.63 | |
Asuris Northwest Health
| Professional | $106.19 | $111.83 | $2,959.51 | |
Cigna
| Professional | $35.06 | $39.84 | $47.13 | |
Molina
| Professional | $50.00 | $50.00 | $75.00 | |
Pacific Source
| Facility | $26.90 | $35.38 | $39.53 |