| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,448.30 | $1,448.30 | $2,460.89 | |
Asuris Northwest Health
| Facility | $100.00 | $100.00 | $100.00 | |
Asuris Northwest Health
| Professional | $30.00 | $2,706.55 | $2,849.00 | |
Cigna
| Professional | $198.37 | $198.37 | $198.37 | |
Molina
| Professional | $50.00 | $50.00 | $75.00 | |
Regence BlueShield
| Professional | $2,849.00 | $2,849.00 | $2,849.00 |