| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $585.41 | $1,078.65 | $1,078.65 | |
Asuris Northwest Health
| Professional | $1,407.74 | $1,663.45 | $1,663.45 | |
Pacific Source
| Facility | $497.46 | $666.79 | $779.76 |