- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $889.83 / $3,500.00 / $11,093.00
| Facility | | $889.83 | $3,500.00 | $11,093.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,705.10 / $16,700.00 / $33,821.32
| Facility | | $2,705.10 | $16,700.00 | $33,821.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $884.75 / $1,214.35 / $1,821.54
| Facility | | $884.75 | $1,214.35 | $1,821.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,352.89 / $6,352.89 / $7,530.73
| Facility | | $6,352.89 | $6,352.89 | $7,530.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,051.00 / $11,452.00 / $17,416.00
| Facility | | $5,051.00 | $11,452.00 | $17,416.00 |