| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $80.00 | $133.47 | $133.47 | |
Asuris Northwest Health
| Professional | $202.51 | $202.51 | $202.51 | |
Kaiser Permanente
| Professional | $155.84 | $155.84 | $155.84 |