- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $896.00 / $1,127.46 / $10,152.00
| Facility | | $896.00 | $1,127.46 | $10,152.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,320.00 / $4,334.00 / $11,433.00
| Facility | | $2,320.00 | $4,334.00 | $11,433.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $876.43 / $1,202.08 / $1,386.70
| Facility | | $876.43 | $1,202.08 | $1,386.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $933.45 / $1,052.61 / $1,052.61
| Facility | | $933.45 | $1,052.61 | $1,052.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $599.00 / $2,723.00 / $6,295.00
| Facility | | $599.00 | $2,723.00 | $6,295.00 |