- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $426.58 / $7,244.36 / $16,595.87
| Facility | | $426.58 | $7,244.36 | $16,595.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,454.71 / $6,025.60 / $11,220.18
| Facility | | $2,454.71 | $6,025.60 | $11,220.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $501.19 / $2,041.74 / $2,570.40
| Facility | | $501.19 | $2,041.74 | $2,570.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $257.04 / $363.08 / $660.69
| Facility | | $257.04 | $363.08 | $660.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,128.61 / $13,182.57 / $23,442.29
| Facility | | $5,128.61 | $13,182.57 | $23,442.29 |