| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $80.00 | $180.82 | $180.82 | |
Asuris Northwest Health
| Professional | $378.04 | $378.04 | $378.04 | |
Molina
| Professional | $45.00 | $50.00 | $50.00 |
Inirs Each Vessel Add-On
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $80.00 | $180.82 | $180.82 | |
Asuris Northwest Health
| Professional | $378.04 | $378.04 | $378.04 | |
Molina
| Professional | $45.00 | $50.00 | $50.00 |