| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $90.00 | $192.42 | $192.42 | |
Asuris Northwest Health
| Professional | $231.28 | $231.28 | $416.24 |
Mod Sed Diff Phys/Qhp<5 Yrs
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $90.00 | $192.42 | $192.42 | |
Asuris Northwest Health
| Professional | $231.28 | $231.28 | $416.24 |