| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $268.82 | $341.79 | $341.79 | |
Asuris Northwest Health
| Professional | $500.00 | $500.00 | $500.00 | |
Cigna
| Professional | $129.80 | $129.80 | $163.21 | |
Kaiser Permanente
| Facility | $59.13 | $107.01 | $160.50 | |
Kaiser Permanente
| Professional | $59.13 | $114.92 | $169.94 | |
Pacific Source
| Facility | $99.81 | $131.94 | $138.84 | |
United
| Professional | $94.84 | $94.84 | $94.84 |