- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $630.96 / $9,120.11 / $18,197.01
| Facility | | $630.96 | $9,120.11 | $18,197.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,290.87 / $5,011.87 / $9,120.11
| Facility | | $2,290.87 | $5,011.87 | $9,120.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,949.84 / $1,949.84 / $2,511.89
| Facility | | $1,949.84 | $1,949.84 | $2,511.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $416.87 / $630.96 / $1,174.90
| Facility | | $416.87 | $630.96 | $1,174.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,754.23 / $11,220.18 / $17,378.01
| Facility | | $2,754.23 | $11,220.18 | $17,378.01 |