| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $6,902.67 | $12,718.20 | $26,542.00 | |
Asuris Northwest Health
| Professional | $6,579.28 | $6,579.28 | $6,579.28 | |
Pacific Source
| Facility | $1,969.49 | $2,629.25 | $2,777.80 |