| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $9,356.60 | $10,998.05 | $10,998.05 | |
Asuris Northwest Health
| Professional | $1,000.48 | $1,000.48 | $1,000.48 | |
Kaiser Permanente
| Facility | $2,614.33 | $3,932.24 | $13,557.23 | |
Kaiser Permanente
| Professional | $659.18 | $2,956.90 | $5,280.10 | |
Pacific Source
| Facility | $2,380.71 | $3,284.67 | $4,105.84 |