| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $155.07 | $423.00 | $423.00 | |
Asuris Northwest Health
| Professional | $470.80 | $583.46 | $583.46 | |
Cigna
| Professional | $142.79 | $142.79 | $179.55 | |
Pacific Source
| Facility | $182.17 | $237.11 | $399.84 |