- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,430.81 / $1,967.48 / $8,229.00
| Facility | | $1,430.81 | $1,967.48 | $8,229.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,049.25 / $9,122.94 / $15,243.15
| Facility | | $5,049.25 | $9,122.94 | $15,243.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,824.40 / $2,504.07 / $2,888.63
| Facility | | $1,824.40 | $2,504.07 | $2,888.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,195.92 / $2,195.92 / $2,195.92
| Facility | | $2,195.92 | $2,195.92 | $2,195.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $405.00 / $2,513.00 / $27,879.00
| Facility | | $405.00 | $2,513.00 | $27,879.00 |