| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $10.72 | $17.38 | $20.42 | |
Moda Health
| Professional | $22.39 | $22.39 | $22.39 | |
Providence
| Facility | $14.45 | $22.39 | $32.36 | |
Providence
| Professional | $22.39 | $22.39 | $22.39 |