| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $70.00 | $90.00 | $90.00 | |
Asuris Northwest Health
| Professional | $47.98 | $132.00 | $206.00 | |
Cigna
| Professional | $58.17 | $103.75 | $207.13 | |
Pacific Source
| Facility | $47.10 | $70.68 | $83.08 |