| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $32.36 | $87.10 | $144.54 | |
Moda Health
| Professional | $141.25 | $141.25 | $141.25 | |
Providence
| Facility | $32.36 | $85.11 | $154.88 | |
Providence
| Professional | $141.25 | $141.25 | $141.25 |