- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $104.70 / $180.28 / $7,909.08
| Facility | | $104.70 | $180.28 | $7,909.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,643.00 / $3,346.00 / $8,517.00
| Facility | | $1,643.00 | $3,346.00 | $8,517.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $103.22 / $125.69 / $146.74
| Facility | | $103.22 | $125.69 | $146.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $91.00 / $186.21 / $186.21
| Facility | | $91.00 | $186.21 | $186.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $597.00 / $1,895.00
| Facility | | $50.00 | $597.00 | $1,895.00 |