- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $595.73 / $896.00 / $10,152.00
| Facility | | $595.73 | $896.00 | $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
- $652.23 / $890.33 / $1,027.06
| Facility | | $652.23 | $890.33 | $1,027.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $741.14 / $783.59 / $783.59
| Facility | | $741.14 | $783.59 | $783.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $973.00 / $4,639.00 / $12,296.00
| Facility | | $973.00 | $4,639.00 | $12,296.00 |