- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,314.00 / $3,382.00 / $7,283.00
| Facility | | $1,314.00 | $3,382.00 | $7,283.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $672.35 / $2,515.38 / $4,140.09
| Facility | | $672.35 | $2,515.38 | $4,140.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,104.53 / $3,104.53 / $3,104.53
| Facility | | $3,104.53 | $3,104.53 | $3,104.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $348.39 / $498.20 / $6,117.00
| Facility | | $348.39 | $498.20 | $6,117.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,912.00 / $4,545.00 / $7,217.00
| Facility | | $2,912.00 | $4,545.00 | $7,217.00 |