| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $247.14 | $256.64 | $256.64 | |
Asuris Northwest Health
| Professional | $802.69 | $802.69 | $802.69 | |
Kaiser Permanente
| Professional | $544.41 | $544.41 | $544.41 |