| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $79.40 | $107.96 | $201.11 | |
Cigna
| Facility | $85.14 | $85.14 | $85.14 | |
Kaiser Permanente
| Facility | $34.82 | $93.98 | $170.65 | |
Pacific Source
| Facility | $36.61 | $89.00 | $79,999.20 | |
Regence BlueShield
| Facility | $70.59 | $103.89 | $198.85 |