| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $75.00 | $90.00 | $90.00 | |
Asuris Northwest Health
| Professional | $1,676.48 | $1,676.48 | $2,849.18 | |
Cigna
| Professional | $855.38 | $906.70 | $1,086.33 | |
Pacific Source
| Facility | $670.59 | $79,999.20 | $79,999.20 | |
Pacific Source
| Professional | $838.24 | $838.24 | $838.24 |