| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $5.62 | $223.87 | $1,174.90 | |
Moda Health
| Professional | $1,096.48 | $1,096.48 | $1,096.48 | |
Providence
| Facility | $741.31 | $1,071.52 | $15,848.93 | |
Providence
| Professional | $1,096.48 | $1,096.48 | $1,096.48 |