| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $7,070.35 | $13,027.20 | $26,542.00 | |
Asuris Northwest Health
| Professional | $8,219.00 | $8,219.00 | $8,219.00 | |
Pacific Source
| Facility | $2,278.01 | $2,942.26 | $3,213.99 |