| 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 | $75.00 | $75.00 | $101.02 | |
Cigna
| Professional | $83.06 | $83.06 | $129.60 | |
Molina
| Professional | $40.00 | $50.00 | $92.40 | |
Pacific Source
| Facility | $79,999.20 | $79,999.20 | $79,999.20 |