- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,700.00 / $5,939.00 / $13,151.00
| Facility | | $1,700.00 | $5,939.00 | $13,151.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,594.10 / $2,251.80 / $3,726.84
| Facility | | $1,594.10 | $2,251.80 | $3,726.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $624.00 / $624.00 / $624.00
| Facility | | $624.00 | $624.00 | $624.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,010.00 / $1,483.00 / $3,842.00
| Facility | | $1,010.00 | $1,483.00 | $3,842.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $825.00 / $2,081.00 / $3,918.00
| Facility | | $825.00 | $2,081.00 | $3,918.00 |