| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $876.41 | $1,065.60 | $1,065.60 | |
Asuris Northwest Health
| Professional | $2,137.79 | $2,137.79 | $2,137.79 | |
Cigna
| Professional | $817.50 | $866.55 | $1,038.23 | |
Pacific Source
| Facility | $79,999.20 | $79,999.20 | $79,999.20 |