| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $3,029.50 | $3,285.00 | $13,687.50 | |
Asuris Northwest Health
| Professional | $10,037.50 | $10,037.50 | $16,425.00 | |
Cigna
| Professional | $708.62 | $708.62 | $849.01 | |
Pacific Source
| Facility | $79,999.20 | $79,999.20 | $79,999.20 | |
Premera BCBS
| Facility | $3,029.50 | $3,029.50 | $3,102.50 | |
Premera BCBS
| Professional | $3,102.50 | $3,102.50 | $3,102.50 |