| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $388.18 | $432.97 | $432.97 | |
Asuris Northwest Health
| Professional | $1,045.09 | $1,045.09 | $1,045.09 | |
Pacific Source
| Facility | $639.00 | $639.00 | $639.00 |