- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $374.06 / $1,245.00 / $10,561.00
| Facility | | $374.06 | $1,245.00 | $10,561.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,457.61 / $1,457.61 / $1,478.88
| Facility | | $1,457.61 | $1,457.61 | $1,478.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $606.10 / $606.10 / $1,587.44
| Facility | | $606.10 | $606.10 | $1,587.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $374.06 / $523.67 / $715.63
| Facility | | $374.06 | $523.67 | $715.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,711.00 / $6,331.00 / $9,616.00
| Facility | | $1,711.00 | $6,331.00 | $9,616.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,451.80 / $5,246.20 / $26,542.00
| Facility | | $1,451.80 | $5,246.20 | $26,542.00 |