| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $90.00 | $211.83 | $211.83 | |
Asuris Northwest Health
| Professional | $252.30 | $252.30 | $358.72 |
Moderate Sedatj Same Phys/Qhp <5 Yrs Init 30 Min
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $90.00 | $211.83 | $211.83 | |
Asuris Northwest Health
| Professional | $252.30 | $252.30 | $358.72 |