| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $55.00 | $55.00 | $7,150.00 | |
Asuris Northwest Health
| Professional | $2,404.40 | $2,404.40 | $3,130.64 | |
Pacific Source
| Facility | $718.03 | $950.95 | $1,022.58 |