| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $5,761.63 | $8,230.90 | $8,230.90 | |
Asuris Northwest Health
| Professional | $8,445.49 | $8,445.49 | $8,445.49 | |
Cigna
| Professional | $1,646.18 | $1,794.32 | $2,149.79 | |
Pacific Source
| Facility | $79,999.20 | $79,999.20 | $79,999.20 |