- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $470.32 / $6,408.55 / $19,276.96
| Facility | | $470.32 | $6,408.55 | $19,276.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,712.35 / $6,198.03 / $11,988.99
| Facility | | $4,712.35 | $6,198.03 | $11,988.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,266.26 / $5,266.26 / $5,266.26
| Facility | | $5,266.26 | $5,266.26 | $5,266.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $382.60 / $608.49 / $1,627.28
| Facility | | $382.60 | $608.49 | $1,627.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $769.28 / $1,113.53 / $6,319.51
| Facility | | $769.28 | $1,113.53 | $6,319.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,711.00 / $5,356.00 / $7,772.00
| Facility | | $3,711.00 | $5,356.00 | $7,772.00 |