| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $1,291.35 | $2,379.35 | $2,379.35 | |
Asuris Northwest Health
| Professional | $461.27 | $461.27 | $528.75 | |
Pacific Source
| Facility | $492.38 | $677.03 | $958.73 |