Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $354.81 / $436.52	Facility		$93.33	$354.81	$436.52
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $524.81 / $524.81 / $524.81	Professional	AA	$524.81	$524.81	$524.81
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $524.81 / $524.81 / $912.01	Professional	QX	$524.81	$524.81	$912.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $257.04 / $346.74	Facility		$213.80	$257.04	$346.74
Regence BlueShield Facility/Professional Professional Modifier QX Low / Median / High Price $134.90 / $162.18 / $199.53	Professional	QX	$134.90	$162.18	$199.53
Regence BlueShield Facility/Professional Professional Modifier QY Low / Median / High Price $134.90 / $162.18 / $199.53	Professional	QY	$134.90	$162.18	$199.53