| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $289.92 | $567.84 | $567.84 | |
Asuris Northwest Health
| Professional | $797.28 | $797.28 | $797.28 | |
Cigna
| Professional | $301.86 | $316.81 | $379.57 | |
Pacific Source
| Facility | $79,999.20 | $79,999.20 | $79,999.20 |