| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $4.71 | $4.71 | $5.13 | |
Pacific Source
| Facility | $1.68 | $79,999.20 | $79,999.20 | |
Providence
| Facility | $0.86 | $1.76 | $4.17 | |
Providence
| Professional | $1.71 | $1.76 | $1.76 |