| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $70.00 | $90.00 | $100.00 | |
Asuris Northwest Health
| Professional | $81.45 | $81.45 | $126.66 | |
Cigna
| Professional | $29.16 | $36.67 | $49.53 | |
Pacific Source
| Facility | $79,999.20 | $79,999.20 | $79,999.20 |