| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $11,500.00 | $26,542.00 | $26,542.00 | |
Asuris Northwest Health
| Professional | $4,246.00 | $4,246.00 | $4,246.00 |
Fstlj Sclera Glaucoma Iridencleisis/Iridotasis
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $11,500.00 | $26,542.00 | $26,542.00 | |
Asuris Northwest Health
| Professional | $4,246.00 | $4,246.00 | $4,246.00 |