| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $121.47 | $189.18 | $198.51 | |
Asuris Northwest Health
| Professional | $388.15 | $388.15 | $388.15 | |
Kaiser Permanente
| Facility | $115.16 | $115.16 | $915.18 | |
Kaiser Permanente
| Professional | $383.98 | $383.98 | $383.98 |