| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $371.40 | $472.22 | $472.22 | |
Asuris Northwest Health
| Professional | $626.71 | $626.71 | $626.71 | |
Cigna
| Professional | $238.39 | $238.39 | $299.76 | |
Kaiser Permanente
| Facility | $91.67 | $198.59 | $296.83 | |
Kaiser Permanente
| Professional | $106.18 | $211.64 | $312.98 | |
Pacific Source
| Facility | $175.10 | $247.00 | $257.27 |