- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $372.55 / $562.13 / $2,525.00
| Facility | | $372.55 | $562.13 | $2,525.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,954.49 / $6,889.31 / $13,089.90
| Facility | | $3,954.49 | $6,889.31 | $13,089.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,353.66 / $1,920.65 / $4,620.39
| Facility | | $1,353.66 | $1,920.65 | $4,620.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,221.48 / $1,752.72 / $3,638.10
| Facility | | $1,221.48 | $1,752.72 | $3,638.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $461.26 / $744.65 / $1,479.41
| Facility | | $461.26 | $744.65 | $1,479.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,412.00 / $4,746.00 / $8,812.00
| Facility | | $2,412.00 | $4,746.00 | $8,812.00 |