| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $2,238.72 | $2,238.72 | $2,238.72 | |
Moda Health
| Professional | $2,238.72 | $2,238.72 | $6,606.93 | |
Premera BCBS
| Professional | $1,995.26 | $5,011.87 | $5,011.87 | |
Providence
| Facility | $1,778.28 | $1,778.28 | $1,778.28 | |
United
| Professional | $1,318.26 | $4,466.84 | $6,760.83 |