| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $1,453.50 | $1,453.50 | $1,453.50 | |
Providence
| Facility | $1,313.51 | $1,473.30 | $1,475.39 |
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| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $1,453.50 | $1,453.50 | $1,453.50 | |
Providence
| Facility | $1,313.51 | $1,473.30 | $1,475.39 |