| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $186.56 | $385.50 | $385.50 | |
Asuris Northwest Health
| Professional | $165.04 | $332.79 | $801.06 | |
Cigna
| Professional | $227.04 | $404.29 | $618.12 | |
Kaiser Permanente
| Facility | $34.72 | $73.84 | $216.37 | |
Kaiser Permanente
| Professional | $34.72 | $73.67 | $216.37 | |
Pacific Source
| Facility | $56.35 | $205.02 | $257.95 | |
Premera BCBS
| Facility | $169.88 | $169.88 | $169.88 | |
Premera BCBS
| Professional | $155.18 | $231.42 | $328.82 |