| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $65.00 | $450.84 | $450.84 | |
Asuris Northwest Health
| Professional | $490.93 | $608.92 | $608.92 | |
Cigna
| Professional | $146.58 | $146.58 | $184.31 | |
Pacific Source
| Facility | $186.53 | $246.94 | $279.48 |