| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $745.02 | $745.02 | $745.02 | |
Asuris Northwest Health
| Professional | $960.33 | $960.33 | $960.33 | |
Pacific Source
| Facility | $374.03 | $458.25 | $540.60 |
Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 MeV
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $745.02 | $745.02 | $745.02 | |
Asuris Northwest Health
| Professional | $960.33 | $960.33 | $960.33 | |
Pacific Source
| Facility | $374.03 | $458.25 | $540.60 |