| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $892.68 | $1,049.25 | $1,049.25 | |
Asuris Northwest Health
| Professional | $485.91 | $485.91 | $485.91 | |
Kaiser Permanente
| Facility | $205.36 | $353.00 | $1,181.97 | |
Kaiser Permanente
| Professional | $205.36 | $303.27 | $503.74 | |
Pacific Source
| Facility | $227.19 | $304.05 | $391.72 |