| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $98.33 | $245.73 | $245.73 | |
Asuris Northwest Health
| Professional | $245.73 | $245.73 | $245.73 | |
Kaiser Permanente
| Facility | $78.31 | $136.71 | $151.04 | |
Kaiser Permanente
| Professional | $78.31 | $136.71 | $151.04 |