- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,100.98 / $1,540.96 / $6,953.60
| Facility | | $1,100.98 | $1,540.96 | $6,953.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.71 / $518.28 / $35,600.00
| Facility | | $0.71 | $518.28 | $35,600.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,043.80 / $1,314.22 / $1,942.26
| Facility | | $1,043.80 | $1,314.22 | $1,942.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $301.00 / $661.00 / $4,877.00
| Facility | | $301.00 | $661.00 | $4,877.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $8,254.79 / $10,004.32
| Facility | | $55.00 | $8,254.79 | $10,004.32 |