| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $9,599.07 | $13,712.95 | $13,712.95 | |
Asuris Northwest Health
| Professional | $7,866.90 | $7,866.90 | $7,866.90 | |
Cigna
| Professional | $2,899.71 | $3,043.26 | $3,646.17 | |
Molina
| Professional | $60.00 | $75.00 | $80.00 | |
Pacific Source
| Facility | $79,999.20 | $79,999.20 | $79,999.20 |