- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $524.81 / $2,691.53 / $9,549.93
| Facility | | $524.81 | $2,691.53 | $9,549.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $30,199.52 / $30,199.52
| Facility | | $30,199.52 | $30,199.52 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $288.40 / $288.40 / $288.40
| Facility | | $288.40 | $288.40 | $288.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $251.19 / $251.19 / $46,773.51
| Facility | | $251.19 | $251.19 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,995.26 / $3,388.44 / $7,585.78
| Facility | | $1,995.26 | $3,388.44 | $7,585.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $478.63 / $1,047.13 / $12,302.69
| Facility | | $478.63 | $1,047.13 | $12,302.69 |