| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $80.00 | $90.00 | $100.00 | |
Asuris Northwest Health
| Professional | $73.23 | $340.67 | $340.67 | |
Cigna
| Professional | $40.15 | $42.14 | $50.48 | |
Kaiser Permanente
| Facility | $38.03 | $38.03 | $38.03 | |
Pacific Source
| Facility | $79,999.20 | $79,999.20 | $79,999.20 |