- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $469.00 / $9,062.00 / $45,625.70
| Facility | | $469.00 | $9,062.00 | $45,625.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,268.48 / $5,209.47 / $9,276.68
| Facility | | $2,268.48 | $5,209.47 | $9,276.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,956.98 / $1,956.98 / $2,514.75
| Facility | | $1,956.98 | $1,956.98 | $2,514.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $427.12 / $588.52 / $1,037.92
| Facility | | $427.12 | $588.52 | $1,037.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $791.00 / $10,257.00 / $16,249.00
| Facility | | $791.00 | $10,257.00 | $16,249.00 |