| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $0.84 | $85.00 | $100.00 | |
Asuris Northwest Health
| Professional | $0.85 | $0.85 | $0.85 | |
Pacific Source
| Facility | $1.25 | $79,999.20 | $79,999.20 | |
Premera BCBS
| Facility | $0.84 | $0.84 | $0.85 | |
Premera BCBS
| Professional | $0.85 | $0.85 | $0.85 |