| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $195.96 | $236.85 | $302.67 | |
Moda Health
| Professional | $232.68 | $232.68 | $232.68 | |
Providence
| Facility | $195.96 | $236.85 | $302.67 | |
Providence
| Professional | $232.68 | $232.68 | $232.68 |