| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $77.98 | $90.00 | $99.16 | |
Asuris Northwest Health
| Professional | $106.16 | $125.69 | $125.69 | |
Cigna
| Professional | $17.92 | $21.47 | $26.48 | |
Pacific Source
| Facility | $36.19 | $42.75 | $50.25 |