| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $54.95 | $56.23 | $5,623.41 | |
Lucent Health
| Professional | $15,848.93 | $15,848.93 | $15,848.93 | |
Moda Health
| Facility | $1,548.82 | $2,089.30 | $3,311.31 | |
Providence
| Facility | $1,548.82 | $2,137.96 | $3,311.31 |