- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $374.49 / $1,386.00 / $7,212.00
| Facility | | $374.49 | $1,386.00 | $7,212.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,943.00 / $5,117.00 / $8,240.00
| Facility | | $1,943.00 | $5,117.00 | $8,240.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $344.02 / $447.23 / $516.03
| Facility | | $344.02 | $447.23 | $516.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $431.88 / $761.00 / $1,158.10
| Facility | | $431.88 | $761.00 | $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 |