| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $585.42 | $987.09 | $987.09 | |
Lucent Health
| Professional | $1,658.00 | $1,658.00 | $1,658.00 | |
Moda Health
| Facility | $306.67 | $363.49 | $501.62 | |
Providence
| Facility | $306.67 | $363.73 | $503.31 | |
Providence
| Professional | $284.55 | $284.55 | $284.55 |