- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $936.10 / $6,765.35 / $17,614.00
| Facility | | $936.10 | $6,765.35 | $17,614.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.71 / $518.28 / $35,600.00
| Facility | | $0.71 | $518.28 | $35,600.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $901.60 / $1,171.31 / $1,661.37
| Facility | | $901.60 | $1,171.31 | $1,661.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $902.00 / $1,557.00 / $13,997.00
| Facility | | $902.00 | $1,557.00 | $13,997.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,666.20 / $12,896.40 / $14,630.00
| Facility | | $10,666.20 | $12,896.40 | $14,630.00 |