| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $125.47 | $157.88 | $191.27 | |
Asuris Northwest Health
| Facility | $26.57 | $26.57 | $26.57 | |
Pacific Source
| Facility | $46.23 | $57.00 | $524.00 | |
Regence BlueShield
| Facility | $26.57 | $26.57 | $26.57 |