| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $167.41 | $196.90 | $456.60 | |
Asuris Northwest Health
| Professional | $407.79 | $575.40 | $575.40 | |
Cigna
| Professional | $187.45 | $334.30 | $577.35 | |
Pacific Source
| Facility | $152.32 | $204.06 | $239.86 |