| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $83.71 | $90.00 | $140.66 | |
Asuris Northwest Health
| Professional | $389.95 | $389.95 | $389.95 | |
Kaiser Permanente
| Professional | $263.02 | $263.02 | $263.02 |