- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $728.09 / $3,388.54 / $12,765.09
| Facility | | $728.09 | $3,388.54 | $12,765.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,070.46 / $5,901.02 / $10,355.91
| Facility | | $4,070.46 | $5,901.02 | $10,355.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $247.33 / $403.10 / $607.47
| Facility | | $247.33 | $403.10 | $607.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $450.01 / $674.36 / $1,101.74
| Facility | | $450.01 | $674.36 | $1,101.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,044.00 / $3,726.00 / $7,934.00
| Facility | | $3,044.00 | $3,726.00 | $7,934.00 |