- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $891.25 / $7,762.47 / $20,892.96
| Facility | | $891.25 | $7,762.47 | $20,892.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,344.23 / $2,344.23 / $3,890.45
| Facility | | $2,344.23 | $2,344.23 | $3,890.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $616.60 / $1,122.02 / $9,549.93
| Facility | | $616.60 | $1,122.02 | $9,549.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $776.25 / $912.01 / $954.99
| Facility | | $776.25 | $912.01 | $954.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $630.96 / $645.65 / $645.65
| Facility | | $630.96 | $645.65 | $645.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,606.93 / $9,772.37 / $19,054.61
| Facility | | $6,606.93 | $9,772.37 | $19,054.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,995.26 / $12,302.69 / $20,892.96
| Facility | | $1,995.26 | $12,302.69 | $20,892.96 |