| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $768.32 | $1,097.59 | $1,097.59 | |
Asuris Northwest Health
| Professional | $2,848.34 | $2,848.34 | $2,848.34 | |
Cigna
| Professional | $172.52 | $172.52 | $206.69 | |
Molina
| Professional | $60.00 | $75.00 | $75.00 | |
Pacific Source
| Facility | $241.34 | $79,999.20 | $79,999.20 |