| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $248.43 | $277.10 | $277.10 | |
Asuris Northwest Health
| Professional | $108.53 | $668.85 | $668.85 | |
Kaiser Permanente
| Facility | $191.10 | $191.10 | $324.87 | |
Kaiser Permanente
| Professional | $191.10 | $191.10 | $477.75 |