- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $537.03 / $2,454.71 / $7,585.78
| Facility | | $537.03 | $2,454.71 | $7,585.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $120.23 / $933.25 / $1,737.80
| Facility | | $120.23 | $933.25 | $1,737.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.86 / $75.86 / $79.43
| Facility | | $75.86 | $75.86 | $79.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.95 / $56.23 / $2,089.30
| Facility | | $54.95 | $56.23 | $2,089.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81.28 / $275.42 / $2,951.21
| Facility | | $81.28 | $275.42 | $2,951.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79.43 / $194.98 / $389.05
| Facility | | $79.43 | $194.98 | $389.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $436.52 / $1,698.24 / $4,168.69
| Facility | | $436.52 | $1,698.24 | $4,168.69 |