| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $13,152.00 | $26,542.00 | $34,307.30 | |
Asuris Northwest Health
| Professional | $8,652.42 | $9,138.90 | $9,138.90 | |
Pacific Source
| Facility | $1,861.93 | $2,516.15 | $2,749.24 |