| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $250.59 | $437.69 | $719.85 | |
Kaiser Permanente
| Facility | $378.96 | $378.96 | $378.96 | |
Kaiser Permanente
| Professional | $378.96 | $378.96 | $378.96 | |
Pacific Source
| Facility | $261.63 | $319.19 | $365.15 |