- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $114.62 / $917.48 / $7,212.00
| Facility | | $114.62 | $917.48 | $7,212.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,636.00 / $3,840.00 / $7,036.00
| Facility | | $1,636.00 | $3,840.00 | $7,036.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $106.36 / $138.27 / $1,089.48
| Facility | | $106.36 | $138.27 | $1,089.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $199.49 / $402.00 / $1,158.10
| Facility | | $199.49 | $402.00 | $1,158.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $900.00 / $3,817.00 / $5,402.00
| Facility | | $900.00 | $3,817.00 | $5,402.00 |