| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $3,769.88 | $4,900.84 | $5,390.92 | |
Moda Health
| Professional | $2,513.25 | $3,015.90 | $3,141.56 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
Regence BlueShield
| Professional | $3,756.13 | $3,756.13 | $7,645.30 | |
United
| Professional | $1,055.57 | $1,055.57 | $2,387.59 |