- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.00 / $3,576.00 / $8,400.00
| Facility | | $1,000.00 | $3,576.00 | $8,400.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,085.32 / $6,507.58 / $10,390.44
| Facility | | $4,085.32 | $6,507.58 | $10,390.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,266.68 / $1,266.68 / $1,266.68
| Facility | | $1,266.68 | $1,266.68 | $1,266.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $542.94 / $1,822.00 / $5,703.80
| Facility | | $542.94 | $1,822.00 | $5,703.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $942.00 / $3,680.00 / $5,847.50
| Facility | | $942.00 | $3,680.00 | $5,847.50 |