| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $238.94 | $11,500.00 | $12,000.00 | |
Asuris Northwest Health
| Professional | $916.00 | $1,860.87 | $2,053.30 | |
Pacific Source
| Facility | $143.08 | $627.20 | $838.40 |