| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $55.00 | $532.20 | $532.20 | |
Asuris Northwest Health
| Professional | $597.64 | $742.51 | $742.51 | |
Cigna
| Professional | $181.04 | $181.04 | $227.65 | |
Pacific Source
| Facility | $231.11 | $300.64 | $347.90 |