| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $353.39 | $602.40 | $602.40 | |
Asuris Northwest Health
| Professional | $849.56 | $849.56 | $849.56 | |
Cigna
| Professional | $323.20 | $323.20 | $406.41 | |
Kaiser Permanente
| Facility | $128.91 | $272.17 | $406.80 | |
Kaiser Permanente
| Professional | $147.28 | $290.68 | $429.87 | |
Pacific Source
| Facility | $220.50 | $338.00 | $355.64 |