- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $942.28 / $2,421.66 / $11,093.00
| Facility | | $942.28 | $2,421.66 | $11,093.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,065.00 / $7,890.00 / $37,919.46
| Facility | | $3,065.00 | $7,890.00 | $37,919.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $937.17 / $1,286.31 / $1,929.47
| Facility | | $937.17 | $1,286.31 | $1,929.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,267.39 / $11,267.39 / $13,356.38
| Facility | | $11,267.39 | $11,267.39 | $13,356.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,058.00 / $12,330.00 / $17,416.00
| Facility | | $5,058.00 | $12,330.00 | $17,416.00 |