- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,653.00 / $5,463.36 / $13,841.56
| Facility | | $1,653.00 | $5,463.36 | $13,841.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $528.12 / $765.63 / $1,343.62
| Facility | | $528.12 | $765.63 | $1,343.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $207.48 / $356.14 / $669.20
| Facility | | $207.48 | $356.14 | $669.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $236.07 / $603.64 / $919.17
| Facility | | $236.07 | $603.64 | $919.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,031.00 / $1,775.00 / $4,406.00
| Facility | | $1,031.00 | $1,775.00 | $4,406.00 |