- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $267.56 / $625.14 / $2,747.00
| Facility | | $267.56 | $625.14 | $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
- $292.82 / $415.17 / $478.93
| Facility | | $292.82 | $415.17 | $478.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $545.65 / $545.65 / $559.38
| Facility | | $545.65 | $545.65 | $559.38 |
- 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 |