| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Professional | $1,877.41 | $1,877.41 | $1,877.41 | |
Kaiser Permanente
| Facility | $3,250.50 | $3,250.50 | $3,250.50 | |
Pacific Source
| Facility | $79,999.20 | $79,999.20 | $79,999.20 |