| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $7.27 | $9.35 | $9.35 | |
Asuris Northwest Health
| Facility | $75.00 | $75.00 | $90.00 | |
Asuris Northwest Health
| Professional | $75.00 | $75.00 | $75.00 | |
Cigna
| Professional | $6.05 | $6.05 | $6.05 | |
Pacific Source
| Facility | $12.10 | $14.53 | $14.74 | |
United
| Professional | $9.24 | $9.46 | $11.56 |