- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $227.91 / $311.38 / $8,229.00
| Facility | | $227.91 | $311.38 | $8,229.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $884.58 / $2,670.47 / $11,253.00
| Facility | | $884.58 | $2,670.47 | $11,253.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $220.22 / $300.62 / $346.79
| Facility | | $220.22 | $300.62 | $346.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $265.20 / $265.20 / $371.58
| Facility | | $265.20 | $265.20 | $371.58 |
- 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 |