| 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 | $529.96 | $529.96 | $710.04 | |
Pacific Source
| Facility | $152.13 | $210.38 | $242.88 |