- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $206.49 / $988.00 / $10,438.33
| Facility | | $206.49 | $988.00 | $10,438.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,798.00 / $6,410.00 / $13,776.00
| Facility | | $3,798.00 | $6,410.00 | $13,776.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $192.59 / $262.81 / $303.16
| Facility | | $192.59 | $262.81 | $303.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $231.84 / $231.84 / $231.84
| Facility | | $231.84 | $231.84 | $231.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $597.00 / $12,612.00
| Facility | | $50.00 | $597.00 | $12,612.00 |