| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $90.00 | $148.02 | $148.02 | |
Asuris Northwest Health
| Professional | $48.88 | $157.35 | $157.35 | |
Cigna
| Professional | $17.48 | $20.96 | $73.34 | |
Pacific Source
| Facility | $79,999.20 | $79,999.20 | $79,999.20 |