| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $1,088.71 | $1,555.30 | $1,555.30 | |
Asuris Northwest Health
| Professional | $797.28 | $797.28 | $797.28 | |
Pacific Source
| Facility | $79,999.20 | $79,999.20 | $79,999.20 |