| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $4,418.79 | $7,841.85 | $26,542.00 | |
Asuris Northwest Health
| Professional | $8,041.00 | $8,041.00 | $8,942.37 | |
Pacific Source
| Facility | $1,463.60 | $2,089.62 | $2,508.84 |