| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $164.35 | $201.68 | $201.68 | |
Asuris Northwest Health
| Professional | $406.95 | $523.28 | $523.28 | |
Cigna
| Professional | $168.35 | $342.59 | $427.30 | |
Kaiser Permanente
| Facility | $81.04 | $152.05 | $218.41 | |
Kaiser Permanente
| Professional | $81.04 | $148.00 | $218.71 | |
Pacific Source
| Facility | $123.52 | $161.91 | $184.92 |