| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $894.54 | $894.54 | $894.54 | |
Asuris Northwest Health
| Professional | $206.19 | $1,270.64 | $1,270.64 | |
Kaiser Permanente
| Facility | $326.74 | $363.04 | $617.16 | |
Kaiser Permanente
| Professional | $326.74 | $363.04 | $907.60 | |
Pacific Source
| Facility | $610.04 | $610.04 | $776.91 |