| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $112.92 | $169.10 | $184.41 | |
Asuris Northwest Health
| Professional | $360.57 | $360.57 | $360.57 | |
Kaiser Permanente
| Facility | $115.16 | $115.16 | $915.18 | |
Kaiser Permanente
| Professional | $343.38 | $343.38 | $343.38 |