| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $269.92 | $627.09 | $627.09 | |
Asuris Northwest Health
| Professional | $1,261.94 | $1,261.94 | $1,261.94 | |
Pacific Source
| Facility | $61.57 | $223.11 | $505.24 |