- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $438.51 / $9,062.00 / $60,823.00
| Facility | | $438.51 | $9,062.00 | $60,823.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,509.66 / $23,614.65 / $39,793.12
| Facility | | $5,509.66 | $23,614.65 | $39,793.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,294.96 / $8,294.96 / $10,659.19
| Facility | | $8,294.96 | $8,294.96 | $10,659.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $341.75 / $528.45 / $764.72
| Facility | | $341.75 | $528.45 | $764.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,340.00 / $24,040.00 / $41,346.00
| Facility | | $3,340.00 | $24,040.00 | $41,346.00 |