- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $203.46 / $480.16 / $7,278.00
| Facility | | $203.46 | $480.16 | $7,278.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $144.25 / $240.60 / $530.04
| Facility | | $144.25 | $240.60 | $530.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $203.46 / $325.67 / $538.25
| Facility | | $203.46 | $325.67 | $538.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.00 / $120.00 / $1,251.00
| Facility | | $54.00 | $120.00 | $1,251.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,436.10 / $1,436.10 / $16,394.00
| Facility | | $1,436.10 | $1,436.10 | $16,394.00 |