| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $49,921.94 | $58,299.50 | $58,299.50 | |
Asuris Northwest Health
| Professional | $3,021.48 | $3,021.48 | $3,021.48 | |
Pacific Source
| Facility | $10,054.16 | $13,955.00 | $20,434.11 |