- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $550.29 / $1,200.74 / $16,042.00
| Facility | | $550.29 | $1,200.74 | $16,042.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,278.00 / $7,581.00 / $14,620.00
| Facility | | $3,278.00 | $7,581.00 | $14,620.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $532.75 / $713.22 / $1,238.64
| Facility | | $532.75 | $713.22 | $1,238.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $630.00 / $908.00 / $1,375.01
| Facility | | $630.00 | $908.00 | $1,375.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,444.00 / $6,032.00 / $10,413.00
| Facility | | $1,444.00 | $6,032.00 | $10,413.00 |