| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $90.00 | $90.00 | $90.00 | |
Asuris Northwest Health
| Professional | $87.78 | $216.93 | $275.02 | |
Cigna
| Professional | $45.07 | $56.67 | $87.15 | |
Pacific Source
| Facility | $81.06 | $104.88 | $79,999.20 |