- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $485.35 / $654.55 / $4,638.82
| Facility | | $485.35 | $654.55 | $4,638.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,041.00 / $2,067.00 / $2,978.00
| Facility | | $1,041.00 | $2,067.00 | $2,978.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $528.10 / $757.46 / $873.77
| Facility | | $528.10 | $757.46 | $873.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $603.91 / $995.51 / $995.51
| Facility | | $603.91 | $995.51 | $995.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $523.00 / $1,450.00 / $5,301.00
| Facility | | $523.00 | $1,450.00 | $5,301.00 |