| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $90.00 | $294.26 | $294.26 | |
Asuris Northwest Health
| Professional | $360.14 | $782.78 | $973.66 | |
Cigna
| Professional | $183.69 | $230.98 | $312.42 | |
Pacific Source
| Facility | $278.88 | $378.48 | $79,999.20 |