- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,334.81 / $1,602.22 / $2,564.52
| Professional | | $1,334.81 | $1,602.22 | $2,564.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,654.21 / $2,027.21 / $2,432.66
| Professional | | $1,654.21 | $2,027.21 | $2,432.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,965.37 / $2,259.05 / $2,508.59
| Professional | | $1,965.37 | $2,259.05 | $2,508.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,412.73 / $1,783.95 / $2,027.21
| Professional | | $1,412.73 | $1,783.95 | $2,027.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,912.00 / $2,912.00 / $2,912.00
| Facility | | $2,912.00 | $2,912.00 | $2,912.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,654.21 / $2,055.17 / $2,707.43
| Professional | | $1,654.21 | $2,055.17 | $2,707.43 |
University Health Alliance - Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $268.37 / $1,525.22 / $2,130.16
| Professional | | $268.37 | $1,525.22 | $2,130.16 |