| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $55.00 | $55.00 | $12,454.29 | |
Asuris Northwest Health
| Professional | $19,176.00 | $19,176.00 | $22,841.74 | |
Pacific Source
| Facility | $4,519.89 | $5,886.39 | $6,437.01 |