- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $245.62 / $938.60 / $5,526.42
| Facility | | $245.62 | $938.60 | $5,526.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $800.00 / $5,083.00 / $8,240.00
| Facility | | $800.00 | $5,083.00 | $8,240.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $229.77 / $344.66 / $506.84
| Facility | | $229.77 | $344.66 | $506.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $417.99 / $761.00 / $848.27
| Facility | | $417.99 | $761.00 | $848.27 |
- 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 |