| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $128.83 | $152.15 | $169.00 | |
Asuris Northwest Health
| Professional | $415.70 | $465.00 | $465.00 |
Indic Dil Std Artl&/Or Ven Cathj Sbsq Outp Mea
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $128.83 | $152.15 | $169.00 | |
Asuris Northwest Health
| Professional | $415.70 | $465.00 | $465.00 |