| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $20.39 | $23.46 | $27.20 | |
Moda Health
| Professional | $22.15 | $22.15 | $22.15 | |
Providence
| Facility | $20.39 | $23.80 | $27.20 | |
Providence
| Professional | $22.15 | $22.15 | $22.15 |