- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $276.44 / $5,866.00 / $16,467.00
| Facility | | $276.44 | $5,866.00 | $16,467.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,902.93 / $4,327.97 / $7,388.84
| Facility | | $1,902.93 | $4,327.97 | $7,388.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $265.26 / $505.00 / $890.00
| Facility | | $265.26 | $505.00 | $890.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $269.76 / $346.24 / $530.83
| Facility | | $269.76 | $346.24 | $530.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $225.00 / $1,221.00 / $3,585.00
| Facility | | $225.00 | $1,221.00 | $3,585.00 |