| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $100.00 | $100.00 | $100.00 | |
Asuris Northwest Health
| Professional | $100.00 | $116.00 | $158.00 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
Pacific Source
| Facility | $79,999.20 | $79,999.20 | $79,999.20 | |
Regence BlueShield
| Professional | $100.00 | $118.10 | $176.80 |