| 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 | $126.81 | $126.81 | $126.81 | |
Molina
| Professional | $45.00 | $50.00 | $50.00 |
Periproc Eval Inper Ledls P
| 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 | $126.81 | $126.81 | $126.81 | |
Molina
| Professional | $45.00 | $50.00 | $50.00 |