| 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 | $98.70 | $104.34 | $142.69 | |
Cigna
| Professional | $32.64 | $37.27 | $44.09 | |
Molina
| Professional | $50.00 | $50.00 | $75.00 | |
Pacific Source
| Facility | $26.54 | $35.75 | $37.52 |