- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $570.66 / $8,876.00 / $20,498.00
| Facility | | $570.66 | $8,876.00 | $20,498.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,335.21 / $6,926.74 / $11,667.62
| Facility | | $3,335.21 | $6,926.74 | $11,667.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $575.46 / $580.00 / $2,581.96
| Facility | | $575.46 | $580.00 | $2,581.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $549.19 / $713.34 / $1,147.15
| Facility | | $549.19 | $713.34 | $1,147.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,327.00 / $12,269.00 / $19,591.00
| Facility | | $2,327.00 | $12,269.00 | $19,591.00 |