Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $805.10 / $806.60 / $806.60	Professional	AA	$805.10	$806.60	$806.60
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $420.00 / $1,015.30 / $1,162.00	Professional	AA	$420.00	$1,015.30	$1,162.00
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $278.94 / $278.94 / $318.79	Professional	QX	$278.94	$278.94	$318.79
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $122.16 / $122.16 / $290.85	Professional	QZ	$122.16	$122.16	$290.85
Asuris Northwest Health Facility/Professional Professional Modifier QX Low / Median / High Price $160.50 / $183.00 / $259.62	Professional	QX	$160.50	$183.00	$259.62
Asuris Northwest Health Facility/Professional Professional Modifier QY Low / Median / High Price $160.50 / $183.00 / $259.62	Professional	QY	$160.50	$183.00	$259.62
Cigna Facility/Professional Professional Modifier QX Low / Median / High Price $180.00 / $180.00 / $180.00	Professional	QX	$180.00	$180.00	$180.00
Cigna Facility/Professional Professional Modifier QY Low / Median / High Price $180.00 / $180.00 / $180.00	Professional	QY	$180.00	$180.00	$180.00
Regence BlueShield Facility/Professional Professional Modifier QX Low / Median / High Price $160.50 / $193.50 / $252.60	Professional	QX	$160.50	$193.50	$252.60
Regence BlueShield Facility/Professional Professional Modifier QY Low / Median / High Price $160.50 / $193.50 / $252.60	Professional	QY	$160.50	$193.50	$252.60