| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $35,180.42 | $61,755.25 | $61,755.25 | |
Asuris Northwest Health
| Professional | $2,225.30 | $2,225.30 | $2,225.30 | |
Molina
| Professional | $45.00 | $50.00 | $50.00 |