- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,382.00 / $8,477.27 / $19,276.96
| Facility | | $4,382.00 | $8,477.27 | $19,276.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,653.53 / $11,095.47 / $19,471.83
| Facility | | $7,653.53 | $11,095.47 | $19,471.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $345.60 / $604.79 / $1,009.54
| Facility | | $345.60 | $604.79 | $1,009.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $693.58 / $893.31 / $3,376.46
| Facility | | $693.58 | $893.31 | $3,376.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,217.00 / $6,451.00 / $7,934.00
| Facility | | $4,217.00 | $6,451.00 | $7,934.00 |