- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,170.00 / $2,640.00 / $5,506.00
| Facility | | $1,170.00 | $2,640.00 | $5,506.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $448.92 / $1,841.09 / $2,735.32
| Facility | | $448.92 | $1,841.09 | $2,735.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,165.05 / $1,165.05 / $1,165.05
| Facility | | $1,165.05 | $1,165.05 | $1,165.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.38 / $215.79 / $1,643.00
| Facility | | $70.38 | $215.79 | $1,643.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $944.00 / $1,556.00 / $3,268.00
| Facility | | $944.00 | $1,556.00 | $3,268.00 |