| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $99.88 | $170.13 | $294.30 | |
Pacific Source
| Facility | $105.62 | $142.35 | $151.63 |
Indiv Phys Supvj Home/Dom/R-Home Mo 15-29 Min
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $99.88 | $170.13 | $294.30 | |
Pacific Source
| Facility | $105.62 | $142.35 | $151.63 |