| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $170.00 | $170.00 | $178.00 | |
Moda Health
| Facility | $343.62 | $1,189.83 | $2,087.37 | |
Moda Health
| Professional | $387.78 | $387.78 | $387.78 | |
Providence
| Facility | $343.62 | $1,189.83 | $2,102.05 | |
Providence
| Professional | $387.78 | $387.78 | $387.78 |