| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $70.00 | $90.00 | $90.00 | |
Cigna
| Professional | $22.99 | $22.99 | $28.73 | |
Pacific Source
| Facility | $79,999.20 | $79,999.20 | $79,999.20 |
Hosp Outpt Clinic Spec Collect
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $70.00 | $90.00 | $90.00 | |
Cigna
| Professional | $22.99 | $22.99 | $28.73 | |
Pacific Source
| Facility | $79,999.20 | $79,999.20 | $79,999.20 |