- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55,272.31 / $55,272.32 / $58,035.94
| Professional | | $55,272.31 | $55,272.32 | $58,035.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55,272.32 / $55,272.32 / $66,643.80
| Professional | | $55,272.32 | $55,272.32 | $66,643.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $81,083.28 / $81,083.28 / $81,083.28
| Professional | | $81,083.28 | $81,083.28 | $81,083.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55,272.32 / $66,326.78 / $77,381.25
| Professional | | $55,272.32 | $66,326.78 | $77,381.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55,272.32 / $58,400.73 / $82,908.48
| Professional | | $55,272.32 | $58,400.73 | $82,908.48 |
University Health Alliance - Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47,908.87 / $55,015.23 / $71,642.09
| Professional | | $47,908.87 | $55,015.23 | $71,642.09 |