| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $85.00 | $100.00 | $100.00 | |
Asuris Northwest Health
| Professional | $38.52 | $38.52 | $38.52 | |
Cigna
| Professional | $0.22 | $0.32 | $0.38 | |
Pacific Source
| Facility | $0.37 | $79,999.20 | $79,999.20 | |
United
| Professional | $0.37 | $0.40 | $0.62 |