- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $154.76 / $635.49 / $2,168.00
| Facility | | $154.76 | $635.49 | $2,168.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.98 / $681.72 / $1,336.21
| Facility | | $0.98 | $681.72 | $1,336.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,110.85 / $1,863.32 / $4,482.47
| Facility | | $1,110.85 | $1,863.32 | $4,482.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,034.58 / $1,642.84 / $3,529.50
| Facility | | $1,034.58 | $1,642.84 | $3,529.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $193.96 / $421.04 / $1,275.01
| Facility | | $193.96 | $421.04 | $1,275.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $563.00 / $1,749.00 / $2,883.00
| Facility | | $563.00 | $1,749.00 | $2,883.00 |