| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $30.39 | $56.63 | $90.60 | |
Moda Health
| Professional | $48.45 | $48.45 | $48.45 | |
Premera BCBS
| Professional | $50.73 | $72.09 | $149.85 | |
Providence
| Professional | $51.50 | $70.70 | $154.50 | |
United
| Professional | $29.05 | $87.26 | $94.52 |