| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $4,206.64 | $7,384.30 | $7,384.30 | |
Asuris Northwest Health
| Professional | $1,032.78 | $1,032.78 | $1,032.78 | |
Molina
| Professional | $45.00 | $50.00 | $50.00 |