| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $112.29 | $280.72 | $280.72 | |
Asuris Northwest Health
| Professional | $280.72 | $280.72 | $526.35 | |
Kaiser Permanente
| Facility | $63.16 | $70.18 | $119.31 | |
Kaiser Permanente
| Professional | $63.16 | $70.18 | $175.45 | |
Pacific Source
| Facility | $70.26 | $70.26 | $70.26 |