- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $465.86 / $787.00 / $9,311.00
| Facility | | $465.86 | $787.00 | $9,311.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,830.00 / $8,584.00 / $11,253.00
| Facility | | $5,830.00 | $8,584.00 | $11,253.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $451.45 / $615.01 / $709.46
| Facility | | $451.45 | $615.01 | $709.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $540.37 / $540.37 / $698.16
| Facility | | $540.37 | $540.37 | $698.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $739.00 / $3,828.00 / $8,582.00
| Facility | | $739.00 | $3,828.00 | $8,582.00 |