| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $70.00 | $116.67 | $116.67 | |
Asuris Northwest Health
| Professional | $231.53 | $231.53 | $231.53 | |
Molina
| Professional | $45.00 | $50.00 | $50.00 |
Prog Eval Inper Leadls Pm
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $70.00 | $116.67 | $116.67 | |
Asuris Northwest Health
| Professional | $231.53 | $231.53 | $231.53 | |
Molina
| Professional | $45.00 | $50.00 | $50.00 |