- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74.44 / $534.33 / $8,229.00
| Facility | | $74.44 | $534.33 | $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
- $72.38 / $99.36 / $114.61
| Facility | | $72.38 | $99.36 | $114.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $130.58 / $130.58 / $130.58
| Facility | | $130.58 | $130.58 | $130.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $523.00 / $794.00 / $5,301.00
| Facility | | $523.00 | $794.00 | $5,301.00 |