| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $62.83 | $96.57 | $135.19 | |
Moda Health
| Professional | $34.25 | $48.93 | $48.93 | |
Premera BCBS
| Professional | $216.00 | $381.00 | $396.00 | |
Providence
| Professional | $216.00 | $396.00 | $2,250,000.00 |