| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $4,047.78 | $4,815.68 | $4,815.68 | |
Asuris Northwest Health
| Professional | $5,807.00 | $5,807.00 | $7,146.00 | |
Pacific Source
| Facility | $1,317.19 | $1,317.19 | $1,317.19 |