| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Professional | $0.80 | $50.00 | $1,576.51 | |
Molina
| Professional | $50.00 | $50.00 | $80.00 | |
Pacific Source
| Facility | $79,999.20 | $79,999.20 | $79,999.20 | |
United
| Professional | $40.00 | $40.00 | $40.00 | |
Wellpoint
| Professional | $750.00 | $750.00 | $750.00 |