Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $78.51 / $78.51 / $78.51	Professional	AA	$78.51	$78.51	$78.51
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $65.02 / $65.02 / $65.02	Professional	QX	$65.02	$65.02	$65.02
Asuris Northwest Health Facility/Professional Professional Modifier QX Low / Median / High Price $107.00 / $122.00 / $173.08	Professional	QX	$107.00	$122.00	$173.08
Asuris Northwest Health Facility/Professional Professional Modifier QY Low / Median / High Price $107.00 / $122.00 / $173.08	Professional	QY	$107.00	$122.00	$173.08
Cigna Facility/Professional Professional Modifier QX Low / Median / High Price $120.00 / $120.00 / $120.00	Professional	QX	$120.00	$120.00	$120.00
Cigna Facility/Professional Professional Modifier QY Low / Median / High Price $120.00 / $120.00 / $120.00	Professional	QY	$120.00	$120.00	$120.00
Regence BlueShield Facility/Professional Professional Modifier QX Low / Median / High Price $107.00 / $129.00 / $168.40	Professional	QX	$107.00	$129.00	$168.40
Regence BlueShield Facility/Professional Professional Modifier QY Low / Median / High Price $107.00 / $129.00 / $168.40	Professional	QY	$107.00	$129.00	$168.40