| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $5,000.00 | $7,738.00 | $10,460.00 |
ExtraCorporeal Shock Wave Therapy (formerly Lithotripsy)-General Classification
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $5,000.00 | $7,738.00 | $10,460.00 |