Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
BCBS Facility/Professional Professional Modifier QX Low / Median / High Price $128.82 / $147.91 / $173.78	Professional	QX	$128.82	$147.91	$173.78
BCBS Facility/Professional Professional Modifier QY Low / Median / High Price $128.82 / $147.91 / $173.78	Professional	QY	$128.82	$147.91	$173.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $316.23 / $2,089.30	Facility		$89.13	$316.23	$2,089.30
Regence BlueShield Facility/Professional Professional Modifier QX Low / Median / High Price $128.82 / $144.54 / $173.78	Professional	QX	$128.82	$144.54	$173.78
Regence BlueShield Facility/Professional Professional Modifier QY Low / Median / High Price $128.82 / $144.54 / $173.78	Professional	QY	$128.82	$144.54	$173.78