- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $180.42 / $295.94 / $5,360.75
| Facility | | $180.42 | $295.94 | $5,360.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,643.00 / $3,498.00 / $8,517.00
| Facility | | $1,643.00 | $3,498.00 | $8,517.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $178.30 / $241.91 / $279.05
| Facility | | $178.30 | $241.91 | $279.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $291.62 / $317.93 / $317.93
| Facility | | $291.62 | $317.93 | $317.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $599.00 / $2,723.00 / $6,295.00
| Facility | | $599.00 | $2,723.00 | $6,295.00 |