| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $90.00 | $149.01 | $149.01 | |
Asuris Northwest Health
| Professional | $182.20 | $469.23 | $597.26 | |
Cigna
| Professional | $92.79 | $116.68 | $187.64 | |
Pacific Source
| Facility | $168.17 | $226.86 | $79,999.20 |