- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $312.82 / $1,174.70 / $9,062.00
| Facility | | $312.82 | $1,174.70 | $9,062.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $501.58 / $936.19 / $1,822.58
| Facility | | $501.58 | $936.19 | $1,822.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $261.64 / $580.00 / $617.39
| Facility | | $261.64 | $580.00 | $617.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $181.87 / $311.29 / $476.68
| Facility | | $181.87 | $311.29 | $476.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $490.00 / $3,866.00 / $6,584.00
| Facility | | $490.00 | $3,866.00 | $6,584.00 |