- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $752.45 / $8,477.27 / $20,928.72
| Facility | | $752.45 | $8,477.27 | $20,928.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,086.90 / $12,315.08 / $23,118.55
| Facility | | $9,086.90 | $12,315.08 | $23,118.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $797.72 / $1,429.66 / $8,757.16
| Facility | | $797.72 | $1,429.66 | $8,757.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,500.07 / $1,993.30 / $5,383.60
| Facility | | $1,500.07 | $1,993.30 | $5,383.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,217.00 / $6,451.00 / $7,934.00
| Facility | | $4,217.00 | $6,451.00 | $7,934.00 |