- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $286.38 / $608.45 / $2,747.00
| Facility | | $286.38 | $608.45 | $2,747.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,643.00 / $3,498.00 / $8,517.00
| Facility | | $1,643.00 | $3,498.00 | $8,517.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $317.37 / $449.92 / $519.00
| Facility | | $317.37 | $449.92 | $519.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $502.46 / $591.32 / $591.32
| Facility | | $502.46 | $591.32 | $591.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $599.00 / $2,723.00 / $6,295.00
| Facility | | $599.00 | $2,723.00 | $6,295.00 |