- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $988.00 / $2,898.00 / $3,444.00
| Facility | | $988.00 | $2,898.00 | $3,444.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.46 / $2.46 / $12.48
| Professional | | $2.46 | $2.46 | $12.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.91 / $10.91 / $10.91
| Professional | | $10.91 | $10.91 | $10.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.57 / $8.97 / $10.71
| Professional | | $8.57 | $8.97 | $10.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.09 / $10.91 / $13.64
| Professional | | $9.09 | $10.91 | $13.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.71 / $10.91 / $10.91
| Professional | | $3.71 | $10.91 | $10.91 |
University Health Alliance - Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.00 / $7.28 / $8.57
| Professional | | $6.00 | $7.28 | $8.57 |