- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $522.51 / $522.51 / $7,859.00
| Facility | | $522.51 | $522.51 | $7,859.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,297.38 / $24,536.18 / $48,429.15
| Facility | | $14,297.38 | $24,536.18 | $48,429.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,281.93 / $1,817.93 / $4,373.28
| Facility | | $1,281.93 | $1,817.93 | $4,373.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,042.10 / $1,662.02 / $3,443.53
| Facility | | $1,042.10 | $1,662.02 | $3,443.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $739.43 / $1,062.64 / $15,951.60
| Facility | | $739.43 | $1,062.64 | $15,951.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,028.00 / $11,496.00 / $21,528.00
| Facility | | $5,028.00 | $11,496.00 | $21,528.00 |