- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $988.00 / $2,747.00 / $2,898.00
| Facility | | $988.00 | $2,747.00 | $2,898.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $371.54 / $371.54 / $371.54
| Professional | | $371.54 | $371.54 | $371.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $382.78 / $453.97 / $540.40
| Professional | | $382.78 | $453.97 | $540.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $797.81 / $896.36 / $1,030.81
| Professional | | $797.81 | $896.36 | $1,030.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,078.00 / $1,078.00 / $1,078.00
| Facility | | $1,078.00 | $1,078.00 | $1,078.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $382.78 / $511.95 / $681.30
| Professional | | $382.78 | $511.95 | $681.30 |
University Health Alliance - Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.27 / $29.27 / $29.27
| Professional | | $29.27 | $29.27 | $29.27 |