| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $131.37 | $209.36 | $209.36 | |
Asuris Northwest Health
| Professional | $480.62 | $480.62 | $480.62 | |
Cigna
| Professional | $183.13 | $183.13 | $230.27 | |
Kaiser Permanente
| Facility | $70.40 | $157.55 | $227.29 | |
Kaiser Permanente
| Professional | $80.66 | $163.28 | $240.30 | |
Pacific Source
| Facility | $123.69 | $194.54 | $201.28 |