| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $115.40 | $383.70 | $383.70 | |
Asuris Northwest Health
| Professional | $391.71 | $391.71 | $466.06 | |
Cigna
| Professional | $130.38 | $130.38 | $156.21 | |
Pacific Source
| Facility | $123.95 | $188.10 | $79,999.20 |