- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.00 / $2,684.82 / $10,635.00
| Facility | | $1,000.00 | $2,684.82 | $10,635.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,152.00 / $2,792.00 / $8,800.00
| Facility | | $1,152.00 | $2,792.00 | $8,800.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $763.53 / $954.41 / $1,134.04
| Facility | | $763.53 | $954.41 | $1,134.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,571.00 / $21,571.00 / $21,571.00
| Facility | | $21,571.00 | $21,571.00 | $21,571.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,647.00 / $4,410.00 / $7,351.00
| Facility | | $2,647.00 | $4,410.00 | $7,351.00 |