| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $231.40 | $273.93 | $273.93 | |
Asuris Northwest Health
| Professional | $567.32 | $777.00 | $777.00 | |
Cigna
| Professional | $232.61 | $483.07 | $590.40 | |
Kaiser Permanente
| Facility | $92.29 | $188.10 | $273.06 | |
Kaiser Permanente
| Professional | $96.32 | $187.32 | $282.39 | |
Pacific Source
| Facility | $138.18 | $192.44 | $245.22 |