- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $428.55 / $476.21 / $2,168.00
| Facility | | $428.55 | $476.21 | $2,168.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,269.41 / $3,046.07 / $5,941.90
| Facility | | $1,269.41 | $3,046.07 | $5,941.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,165.93 / $1,654.29 / $3,979.62
| Facility | | $1,165.93 | $1,654.29 | $3,979.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,059.94 / $1,512.42 / $3,133.56
| Facility | | $1,059.94 | $1,512.42 | $3,133.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $428.55 / $750.58 / $1,298.25
| Facility | | $428.55 | $750.58 | $1,298.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $382.00 / $1,727.00 / $2,883.00
| Facility | | $382.00 | $1,727.00 | $2,883.00 |