| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.34 | $36.34 | $42.13 | |
Aetna
| Professional | $36.34 | $36.34 | $88.40 | |
Asuris Northwest Health
| Facility | $28.22 | $100.00 | $100.00 | |
Asuris Northwest Health
| Professional | $21.17 | $28.22 | $42.13 | |
Cigna
| Professional | $14.86 | $14.86 | $48.75 | |
Pacific Source
| Facility | $42.13 | $43.39 | $79,999.20 |