| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $9,091.79 | $10,798.05 | $10,798.05 | |
Asuris Northwest Health
| Professional | $2,902.58 | $2,902.58 | $2,902.58 | |
Kaiser Permanente
| Facility | $2,577.11 | $3,862.36 | $15,306.32 | |
Kaiser Permanente
| Professional | $723.36 | $2,844.94 | $5,080.18 | |
Pacific Source
| Facility | $2,451.32 | $3,416.73 | $4,766.45 |