| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $13,851.42 | $16,175.90 | $16,175.90 | |
Asuris Northwest Health
| Professional | $1,767.29 | $1,767.29 | $1,767.29 | |
Pacific Source
| Facility | $2,768.93 | $3,871.98 | $5,669.69 |