| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26,454.32 | $26,454.32 | $26,454.32 | |
Asuris Northwest Health
| Facility | $65,784.12 | $247,449.59 | $247,449.59 | |
Asuris Northwest Health
| Professional | $303,364.75 | $303,364.75 | $406,962.44 | |
Cigna
| Professional | $38,437.90 | $38,437.90 | $38,437.90 | |
Molina
| Professional | $50.00 | $50.00 | $65.00 | |
Pacific Source
| Facility | $61,512.88 | $85,049.94 | $93,667.34 |