| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $54.01 | $78.63 | $102.66 |
Mod Sed Diff Phys/Qhp<5 Yrs
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $54.01 | $78.63 | $102.66 |