| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $75.00 | $90.00 | $90.00 | |
Asuris Northwest Health
| Professional | $65.33 | $65.33 | $197.75 | |
Cigna
| Professional | $32.95 | $41.43 | $62.39 | |
Pacific Source
| Facility | $60.30 | $75.81 | $79,999.20 |