| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $13,617.06 | $13,617.06 | $13,617.06 |
Prostatic OR Procedure Unrelated To Principal Diagnosis W Cc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $13,617.06 | $13,617.06 | $13,617.06 |