Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Professional Modifier QX Low / Median / High Price $133.75 / $152.50 / $216.35	Professional	QX	$133.75	$152.50	$216.35
Asuris Northwest Health Facility/Professional Professional Modifier QY Low / Median / High Price $133.75 / $152.50 / $216.35	Professional	QY	$133.75	$152.50	$216.35
Regence BlueShield Facility/Professional Professional Modifier QX Low / Median / High Price $133.75 / $161.25 / $210.50	Professional	QX	$133.75	$161.25	$210.50
Regence BlueShield Facility/Professional Professional Modifier QY Low / Median / High Price $133.75 / $161.25 / $210.50	Professional	QY	$133.75	$161.25	$210.50