- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,209.68 / $8,783.00 / $16,639.00
| Facility | | $1,209.68 | $8,783.00 | $16,639.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,797.87 / $3,127.32 / $6,460.45
| Facility | | $1,797.87 | $3,127.32 | $6,460.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,203.74 / $1,965.14 / $2,345.00
| Facility | | $1,203.74 | $1,965.14 | $2,345.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,123.31 / $1,429.67 / $2,354.83
| Facility | | $1,123.31 | $1,429.67 | $2,354.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,550.00 / $10,257.00 / $16,249.00
| Facility | | $1,550.00 | $10,257.00 | $16,249.00 |