- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $954.99 / $16,595.87 / $60,255.96
| Facility | | $954.99 | $16,595.87 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,762.47 / $23,988.33 / $45,708.82
| Facility | | $7,762.47 | $23,988.33 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,549.93 / $9,549.93 / $12,302.69
| Facility | | $9,549.93 | $9,549.93 | $12,302.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $354.81 / $512.86 / $831.76
| Facility | | $354.81 | $512.86 | $831.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,772.37 / $23,988.33 / $41,686.94
| Facility | | $9,772.37 | $23,988.33 | $41,686.94 |