| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $30.74 | $330.90 | $330.90 | |
Asuris Northwest Health
| Professional | $154.00 | $154.00 | $154.00 | |
Kaiser Permanente
| Facility | $78.95 | $115.34 | $576.76 | |
Kaiser Permanente
| Professional | $41.56 | $95.02 | $155.66 | |
Pacific Source
| Facility | $75.11 | $98.72 | $123.40 |