- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $660.69 / $4,897.79 / $14,125.38
| Facility | | $660.69 | $4,897.79 | $14,125.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,365.16 / $23,442.29 / $31,622.78
| Facility | | $4,365.16 | $23,442.29 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $436.52 / $457.09 / $512.86
| Facility | | $436.52 | $457.09 | $512.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $446.68 / $707.95 / $1,023.29
| Facility | | $446.68 | $707.95 | $1,023.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,897.79 / $11,220.18 / $17,378.01
| Facility | | $4,897.79 | $11,220.18 | $17,378.01 |