| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $339.66 | $579.41 | $579.41 | |
Pacific Source
| Facility | $79,999.20 | $79,999.20 | $79,999.20 |
Visco-3 Inj Dose
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $339.66 | $579.41 | $579.41 | |
Pacific Source
| Facility | $79,999.20 | $79,999.20 | $79,999.20 |