| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $100.79 | $169.74 | $169.74 | |
Asuris Northwest Health
| Professional | $330.05 | $356.22 | $356.22 | |
Pacific Source
| Facility | $86.48 | $119.13 | $140.03 | |
United
| Professional | $39.19 | $87.48 | $194.67 |