| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $211.93 | $943.56 | $2,925.47 | |
Premera BCBS
| Professional | $2,106.00 | $2,724.55 | $6,442.00 | |
Providence
| Facility | $211.93 | $211.93 | $2,925.47 | |
Providence
| Professional | $254.32 | $4,831.50 | $6,442.00 | |
United
| Professional | $1,709.59 | $4,367.79 | $6,702.48 |