| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $100.00 | $100.00 | $100.00 | |
Asuris Northwest Health
| Professional | $6.56 | $6.56 | $64,999.35 | |
Cigna
| Professional | $70.08 | $70.08 | $70.08 | |
Molina
| Professional | $45.00 | $50.00 | $80.00 | |
Pacific Source
| Facility | $79,999.20 | $79,999.20 | $79,999.20 |