- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $426.02 / $577.54 / $4,557.00
| Facility | | $426.02 | $577.54 | $4,557.00 |
- 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
- $1,399.96 / $1,986.35 / $4,778.42
| Facility | | $1,399.96 | $1,986.35 | $4,778.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,272.69 / $1,816.00 / $3,762.54
| Facility | | $1,272.69 | $1,816.00 | $3,762.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $528.10 / $861.35 / $1,554.11
| Facility | | $528.10 | $861.35 | $1,554.11 |
- 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 |