Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Regence BlueShield Facility/Professional Professional Modifier QX Low / Median / High Price $153.00 / $175.50 / $210.00	Professional	QX	$153.00	$175.50	$210.00
Regence BlueShield Facility/Professional Professional Modifier QY Low / Median / High Price $153.00 / $175.50 / $210.00	Professional	QY	$153.00	$175.50	$210.00