| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $1,816.33 | $11,500.00 | $16,394.00 | |
Asuris Northwest Health
| Professional | $764.40 | $764.40 | $913.33 | |
Pacific Source
| Facility | $150.68 | $208.37 | $235.81 |