| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $6,654.66 | $11,809.80 | $16,394.00 | |
Asuris Northwest Health
| Professional | $2,885.41 | $2,885.41 | $3,183.54 | |
Pacific Source
| Facility | $778.59 | $1,076.69 | $1,251.56 |