| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $6,776.59 | $8,615.98 | $8,615.98 | |
Asuris Northwest Health
| Professional | $2,996.65 | $2,996.65 | $2,996.65 | |
Cigna
| Professional | $946.50 | $993.35 | $1,190.15 | |
Molina
| Professional | $60.00 | $75.00 | $75.00 | |
Pacific Source
| Facility | $822.84 | $79,999.20 | $79,999.20 |