| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Professional | $50.00 | $50.00 | $3,335.23 | |
Molina
| Professional | $49.50 | $50.00 | $75.00 | |
Regence BlueShield
| Professional | $50.00 | $50.00 | $50.00 |
Unlisted Procedure Therapeutic Radiology Tx Mgmt
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Professional | $50.00 | $50.00 | $3,335.23 | |
Molina
| Professional | $49.50 | $50.00 | $75.00 | |
Regence BlueShield
| Professional | $50.00 | $50.00 | $50.00 |