- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,030.10 / $7,367.00 / $8,442.00
| Facility | | $1,030.10 | $7,367.00 | $8,442.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.71 / $575.00 / $35,600.00
| Facility | | $0.71 | $575.00 | $35,600.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $983.45 / $1,236.13 / $1,912.44
| Facility | | $983.45 | $1,236.13 | $1,912.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $902.00 / $1,557.00 / $11,999.00
| Facility | | $902.00 | $1,557.00 | $11,999.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,000.00 / $7,810.32 / $9,511.60
| Facility | | $2,000.00 | $7,810.32 | $9,511.60 |