- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $174.32 / $417.11 / $9,884.49
| Facility | | $174.32 | $417.11 | $9,884.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,394.15 / $5,595.50 / $10,098.06
| Facility | | $3,394.15 | $5,595.50 | $10,098.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $879.32 / $1,246.99 / $2,999.80
| Facility | | $879.32 | $1,246.99 | $2,999.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $692.38 / $1,140.05 / $2,362.05
| Facility | | $692.38 | $1,140.05 | $2,362.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $211.81 / $411.99 / $3,944.05
| Facility | | $211.81 | $411.99 | $3,944.05 |
- 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 |