| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $3,145.90 | $11,500.00 | $26,542.00 | |
Asuris Northwest Health
| Professional | $7,587.00 | $7,587.00 | $7,587.00 | |
Pacific Source
| Facility | $1,158.92 | $1,602.64 | $1,656.24 |