| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $0.05 | $0.07 | $0.11 | |
Moda Health
| Professional | $0.05 | $0.05 | $0.05 | |
Providence
| Facility | $0.05 | $0.05 | $0.66 | |
Providence
| Professional | $0.05 | $79.43 | $79.43 | |
United
| Professional | $0.05 | $0.06 | $0.07 |