| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $55.00 | $55.00 | $6,134.82 | |
Asuris Northwest Health
| Professional | $19,602.00 | $19,602.00 | $19,602.00 | |
Pacific Source
| Facility | $2,296.05 | $3,098.55 | $3,246.52 |