| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $151.61 | $176.61 | $222.40 | |
Moda Health
| Facility | $61.35 | $62.79 | $133.94 | |
Moda Health
| Professional | $72.91 | $131.66 | $131.66 | |
Pacific Source
| Facility | $100.50 | $163.84 | $167.50 | |
Providence
| Facility | $62.30 | $76.48 | $2,400,000.00 | |
Providence
| Professional | $2,250,000.00 | $2,250,000.00 | $2,400,000.00 |