| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $19.09 | $42.66 | $93.10 | |
Pacific Source
| Facility | $6.43 | $79,999.20 | $79,999.20 | |
Providence
| Facility | $3.94 | $6.30 | $9.32 | |
Providence
| Professional | $3.94 | $3.94 | $5.03 |