- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $509.78 / $794.47 / $2,747.00
| Facility | | $509.78 | $794.47 | $2,747.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,643.00 / $3,498.00 / $8,517.00
| Facility | | $1,643.00 | $3,498.00 | $8,517.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $550.85 / $789.49 / $910.73
| Facility | | $550.85 | $789.49 | $910.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $694.86 / $694.86 / $782.30
| Facility | | $694.86 | $694.86 | $782.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $599.00 / $2,723.00 / $6,295.00
| Facility | | $599.00 | $2,723.00 | $6,295.00 |