| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $15,503.10 | $15,503.10 | $15,503.10 |
Major Head Neck Procedures W Cc Mcc Or Major Device
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $15,503.10 | $15,503.10 | $15,503.10 |