| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $70.00 | $90.00 | $90.00 | |
Asuris Northwest Health
| Professional | $90.55 | $90.55 | $90.55 | |
Kaiser Permanente
| Facility | $38.03 | $123.92 | $321.62 | |
Kaiser Permanente
| Professional | $53.21 | $53.21 | $53.21 |