- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $329.54 / $1,386.00 / $7,212.00
| Facility | | $329.54 | $1,386.00 | $7,212.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,234.00 / $5,126.00 / $13,758.00
| Facility | | $2,234.00 | $5,126.00 | $13,758.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $302.68 / $393.48 / $454.02
| Facility | | $302.68 | $393.48 | $454.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $380.54 / $538.00 / $2,513.90
| Facility | | $380.54 | $538.00 | $2,513.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,500.00 / $5,995.00 / $9,243.00
| Facility | | $1,500.00 | $5,995.00 | $9,243.00 |