| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $146.21 | $210.25 | $210.25 | |
Asuris Northwest Health
| Professional | $467.11 | $467.11 | $467.11 | |
Kaiser Permanente
| Professional | $426.92 | $426.92 | $426.92 |