| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Professional | $109.71 | $163.40 | $199.50 | |
Premera BCBS
| Facility | $3,495.87 | $3,495.87 | $3,495.87 | |
Premera BCBS
| Professional | $54.18 | $75.59 | $187.60 | |
Providence
| Facility | $70.30 | $70.30 | $3,495.87 | |
Providence
| Professional | $56.87 | $88.73 | $238.10 |