- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $194.98 / $4,897.79 / $7,244.36
| Facility | | $194.98 | $4,897.79 | $7,244.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,344.23 / $8,317.64 / $10,471.29
| Facility | | $2,344.23 | $8,317.64 | $10,471.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $169.82 / $173.78 / $199.53
| Facility | | $169.82 | $173.78 | $199.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $169.82 / $275.42 / $354.81
| Facility | | $169.82 | $275.42 | $354.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,691.53 / $6,025.60 / $10,715.19
| Facility | | $2,691.53 | $6,025.60 | $10,715.19 |