| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $90.00 | $90.00 | $139.63 | |
Asuris Northwest Health
| Professional | $95.38 | $102.41 | $140.99 | |
Cigna
| Professional | $31.43 | $36.63 | $43.33 | |
Pacific Source
| Facility | $25.76 | $32.47 | $36.85 |