| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $101.00 | $179.38 | $279.63 | |
Asuris Northwest Health
| Professional | $350.74 | $350.74 | $350.74 | |
Cigna
| Professional | $63.03 | $63.03 | $75.51 |
Ffs - Not Available
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $101.00 | $179.38 | $279.63 | |
Asuris Northwest Health
| Professional | $350.74 | $350.74 | $350.74 | |
Cigna
| Professional | $63.03 | $63.03 | $75.51 |