| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $54.95 | $56.23 | $5,754.40 | |
Lucent Health
| Professional | $16,218.10 | $16,218.10 | $16,218.10 | |
Moda Health
| Facility | $1,737.80 | $2,290.87 | $3,388.44 | |
Providence
| Facility | $1,737.80 | $2,344.23 | $3,388.44 |