| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $2,009.32 | $3,565.85 | $3,565.85 | |
Asuris Northwest Health
| Professional | $1,655.89 | $1,655.89 | $1,655.89 | |
Pacific Source
| Facility | $548.64 | $746.70 | $868.68 |