| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $213.41 | $437.57 | $437.57 | |
Asuris Northwest Health
| Professional | $586.87 | $586.87 | $586.87 | |
Molina
| Professional | $45.00 | $50.00 | $50.00 |
Sin Ndsc Plmt Drg Elut Mplnt
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $213.41 | $437.57 | $437.57 | |
Asuris Northwest Health
| Professional | $586.87 | $586.87 | $586.87 | |
Molina
| Professional | $45.00 | $50.00 | $50.00 |