- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.18 / $83.18 / $6,918.31
| Facility | | $83.18 | $83.18 | $6,918.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.00 / $575.44 / $1,348.96
| Facility | | $1.00 | $575.44 | $1,348.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $223.87 / $316.23 / $758.58
| Facility | | $223.87 | $316.23 | $758.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $245.47 / $302.00 / $602.56
| Facility | | $245.47 | $302.00 | $602.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $107.15 / $173.78 / $12,022.64
| Facility | | $107.15 | $173.78 | $12,022.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,888.44 / $9,332.54 / $12,882.50
| Facility | | $5,888.44 | $9,332.54 | $12,882.50 |