| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $139.91 | $239.44 | $413.70 | |
Pacific Source
| Facility | $148.26 | $183.04 | $206.24 |
Indiv Phys Supvj Home/Dom/R-Home Mo 30 Min/>
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $139.91 | $239.44 | $413.70 | |
Pacific Source
| Facility | $148.26 | $183.04 | $206.24 |