| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $55.00 | $55.00 | $55.00 | |
Asuris Northwest Health
| Professional | $15,682.00 | $15,682.00 | $15,682.00 |
Insj Graft Aorta/Great Vessel W/Shun
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $55.00 | $55.00 | $55.00 | |
Asuris Northwest Health
| Professional | $15,682.00 | $15,682.00 | $15,682.00 |