- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $331.46 / $3,908.01 / $13,841.56
| Facility | | $331.46 | $3,908.01 | $13,841.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,609.82 / $6,063.17 / $11,728.12
| Facility | | $4,609.82 | $6,063.17 | $11,728.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,802.85 / $1,802.85 / $1,802.85
| Facility | | $1,802.85 | $1,802.85 | $1,802.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $234.42 / $390.66 / $1,012.24
| Facility | | $234.42 | $390.66 | $1,012.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $481.07 / $784.58 / $2,163.42
| Facility | | $481.07 | $784.58 | $2,163.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,217.00 / $6,451.00 / $7,934.00
| Facility | | $4,217.00 | $6,451.00 | $7,934.00 |