| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $95.00 | $100.00 | $100.00 | |
Asuris Northwest Health
| Professional | $1,514.66 | $1,514.66 | $1,514.66 | |
Cigna
| Professional | $13.26 | $13.91 | $16.67 | |
Molina
| Professional | $60.00 | $75.00 | $80.00 |