| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $20,285.02 | $23,689.15 | $23,689.15 | |
Asuris Northwest Health
| Professional | $1,244.64 | $1,244.64 | $1,244.64 | |
Pacific Source
| Facility | $5,265.38 | $7,193.97 | $8,461.10 |