- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.50 / $350.70 / $8,229.00
| Facility | | $70.50 | $350.70 | $8,229.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,041.00 / $2,067.00 / $2,978.00
| Facility | | $1,041.00 | $2,067.00 | $2,978.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68.87 / $94.53 / $109.04
| Facility | | $68.87 | $94.53 | $109.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $124.24 / $124.24 / $124.24
| Facility | | $124.24 | $124.24 | $124.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $523.00 / $794.00 / $5,301.00
| Facility | | $523.00 | $794.00 | $5,301.00 |