- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $230.70 / $356.23 / $8,229.00
| Facility | | $230.70 | $356.23 | $8,229.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,014.00 / $8,584.00 / $11,253.00
| Facility | | $4,014.00 | $8,584.00 | $11,253.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $224.34 / $307.30 / $354.50
| Facility | | $224.34 | $307.30 | $354.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $268.56 / $268.56 / $268.56
| Facility | | $268.56 | $268.56 | $268.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $599.00 / $4,298.00 / $30,001.00
| Facility | | $599.00 | $4,298.00 | $30,001.00 |