| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $13,152.00 | $26,542.00 | $71,377.70 | |
Asuris Northwest Health
| Professional | $8,377.76 | $9,404.85 | $9,404.85 | |
Pacific Source
| Facility | $1,915.71 | $2,490.15 | $2,720.00 |