- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $214.26 / $221.89 / $15,656.15
| Facility | | $214.26 | $221.89 | $15,656.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $370.82 / $8,144.87 / $11,440.66
| Facility | | $370.82 | $8,144.87 | $11,440.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.00 / $40.00 / $40.00
| Facility | | $40.00 | $40.00 | $40.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,656.00 / $8,813.00 / $19,124.00
| Facility | | $5,656.00 | $8,813.00 | $19,124.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $194.00 / $513.00 / $1,506.00
| Facility | | $194.00 | $513.00 | $1,506.00 |