| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $14,153.26 | $16,528.40 | $16,528.40 | |
Asuris Northwest Health
| Professional | $2,110.46 | $2,110.46 | $2,110.46 | |
Pacific Source
| Facility | $3,508.33 | $4,901.35 | $5,903.48 |