| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $362.62 | $362.62 | $362.62 | |
Moda Health
| Professional | $90.11 | $90.11 | $128.72 | |
Premera BCBS
| Professional | $356.40 | $356.40 | $357.75 | |
Providence
| Facility | $347.40 | $347.40 | $362.62 | |
Providence
| Professional | $90.11 | $90.11 | $128.72 | |
United
| Professional | $212.86 | $319.29 | $1,218.03 |