- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.86 / $144.54 / $186.21
| Facility | | $75.86 | $144.54 | $186.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.48 / $38.02 / $38.90
| Facility | | $35.48 | $38.02 | $38.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $134.90 / $2,137.96 / $4,073.80
| Facility | | $134.90 | $2,137.96 | $4,073.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.79 / $107.15 / $302.00
| Facility | | $70.79 | $107.15 | $302.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $199.53 / $346.74
| Facility | | $100.00 | $199.53 | $346.74 |