| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $867.06 | $1,110.98 | $1,110.98 | |
Asuris Northwest Health
| Professional | $4,745.25 | $4,745.25 | $4,745.25 | |
Kaiser Permanente
| Facility | $181.05 | $214.20 | $985.22 | |
Kaiser Permanente
| Professional | $180.67 | $200.86 | $412.69 | |
Pacific Source
| Facility | $219.84 | $280.83 | $363.89 |