| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $9,171.77 | $10,710.95 | $10,710.95 | |
Asuris Northwest Health
| Professional | $1,436.79 | $1,436.79 | $1,436.79 | |
Pacific Source
| Facility | $1,845.95 | $3,252.72 | $3,825.65 |