| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $8,706.91 | $10,168.04 | $10,168.04 | |
Asuris Northwest Health
| Professional | $1,910.62 | $1,910.62 | $1,910.62 | |
Pacific Source
| Facility | $2,260.05 | $3,087.86 | $3,631.75 |