| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $90.00 | $90.00 | $90.00 | |
Asuris Northwest Health
| Professional | $183.93 | $183.93 | $183.93 | |
Cigna
| Professional | $69.40 | $69.40 | $87.26 | |
Kaiser Permanente
| Facility | $26.59 | $59.94 | $86.47 | |
Kaiser Permanente
| Professional | $30.39 | $62.40 | $91.07 | |
Pacific Source
| Facility | $51.53 | $72.70 | $75.70 |