| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $1,778.50 | $2,498.51 | $4,966.62 | |
Pacific Source
| Facility | $79,999.20 | $79,999.20 | $79,999.20 | |
Premera BCBS
| Facility | $1,422.80 | $1,671.79 | $2,312.05 | |
United
| Professional | $889.25 | $889.25 | $889.25 |