| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $249.24 | $344.23 | $407.44 | |
Asuris Northwest Health
| Professional | $796.67 | $796.67 | $796.67 | |
Kaiser Permanente
| Professional | $698.96 | $698.96 | $698.96 |