| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $70.00 | $103.12 | $118.62 | |
Asuris Northwest Health
| Professional | $201.64 | $217.25 | $217.25 | |
Cigna
| Professional | $40.92 | $40.92 | $49.03 | |
Pacific Source
| Facility | $58.31 | $87.10 | $91.12 |