| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $55.00 | $106.18 | $3,930.50 | |
Asuris Northwest Health
| Professional | $187.53 | $474.21 | $474.21 | |
Kaiser Permanente
| Facility | $311.17 | $534.89 | $1,723.14 | |
Kaiser Permanente
| Professional | $261.42 | $427.45 | $763.29 | |
Pacific Source
| Facility | $75.70 | $143.07 | $184.84 | |
United
| Professional | $47.88 | $97.39 | $137.52 |