- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $107.48 / $107.48 / $2,168.00
| Facility | | $107.48 | $107.48 | $2,168.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $484.11 / $3,675.96 / $8,304.51
| Facility | | $484.11 | $3,675.96 | $8,304.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $249.18 / $353.55 / $850.52
| Facility | | $249.18 | $353.55 | $850.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $202.67 / $323.23 / $669.70
| Facility | | $202.67 | $323.23 | $669.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $115.42 / $190.08 / $5,625.11
| Facility | | $115.42 | $190.08 | $5,625.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,735.00 / $4,974.00 / $8,812.00
| Facility | | $2,735.00 | $4,974.00 | $8,812.00 |