| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $116.97 | $183.66 | $183.66 | |
Asuris Northwest Health
| Professional | $373.70 | $373.70 | $373.70 | |
Kaiser Permanente
| Professional | $372.68 | $372.68 | $372.68 |