- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $588.84 / $4,897.79 / $7,244.36
| Facility | | $588.84 | $4,897.79 | $7,244.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,344.23 / $8,317.64 / $10,471.29
| Facility | | $2,344.23 | $8,317.64 | $10,471.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $363.08 / $398.11 / $457.09
| Facility | | $363.08 | $398.11 | $457.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $446.68 / $691.83 / $1,096.48
| Facility | | $446.68 | $691.83 | $1,096.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,348.96 / $6,025.60 / $10,715.19
| Facility | | $1,348.96 | $6,025.60 | $10,715.19 |