| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $55.00 | $55.00 | $5,060.88 | |
Asuris Northwest Health
| Professional | $8,345.00 | $8,345.00 | $8,345.00 | |
Pacific Source
| Facility | $1,771.82 | $2,381.60 | $2,464.82 |