- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $432.29 / $432.29 / $6,781.00
| Facility | | $432.29 | $432.29 | $6,781.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,422.05 / $30,258.69 / $53,224.17
| Facility | | $6,422.05 | $30,258.69 | $53,224.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $997.57 / $1,415.41 / $3,404.95
| Facility | | $997.57 | $1,415.41 | $3,404.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $906.88 / $1,294.02 / $2,681.06
| Facility | | $906.88 | $1,294.02 | $2,681.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $451.13 / $827.38 / $10,743.00
| Facility | | $451.13 | $827.38 | $10,743.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,356.00 / $5,457.00 / $12,722.00
| Facility | | $1,356.00 | $5,457.00 | $12,722.00 |