| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $17,468.99 | $20,533.65 | $20,533.65 | |
Asuris Northwest Health
| Professional | $854.42 | $854.42 | $854.42 | |
Kaiser Permanente
| Facility | $3,345.73 | $5,520.59 | $13,557.23 | |
Kaiser Permanente
| Professional | $3,625.08 | $5,996.12 | $8,397.33 | |
Pacific Source
| Facility | $4,455.85 | $6,124.93 | $7,665.70 |