- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $247.27 / $3,588.88 / $13,841.56
| Facility | | $247.27 | $3,588.88 | $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
- $141.88 / $270.89 / $576.79
| Facility | | $141.88 | $270.89 | $576.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $347.95 / $539.86 / $835.58
| Facility | | $347.95 | $539.86 | $835.58 |
- 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 |