- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $544.91 / $4,922.05 / $8,662.69
| Facility | | $544.91 | $4,922.05 | $8,662.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $530.04 / $530.04 / $2,710.28
| Facility | | $530.04 | $530.04 | $2,710.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $514.51 / $626.66 / $980.11
| Facility | | $514.51 | $626.66 | $980.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $900.00 / $3,733.00 / $6,543.00
| Facility | | $900.00 | $3,733.00 | $6,543.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,107.64 / $8,957.00 / $16,394.00
| Facility | | $2,107.64 | $8,957.00 | $16,394.00 |