| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $59.60 | $110.09 | $176.14 | |
Moda Health
| Professional | $94.05 | $94.05 | $94.05 | |
Premera BCBS
| Professional | $98.71 | $140.00 | $291.60 | |
Providence
| Professional | $100.00 | $138.60 | $300.00 | |
United
| Professional | $58.11 | $169.34 | $183.87 |