- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $138.59 / $183.38 / $3,238.86
| Facility | | $138.59 | $183.38 | $3,238.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.00 / $308.35 / $1,016.79
| Facility | | $1.00 | $308.35 | $1,016.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $463.25 / $656.94 / $1,580.36
| Facility | | $463.25 | $656.94 | $1,580.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $376.59 / $600.60 / $1,244.38
| Facility | | $376.59 | $600.60 | $1,244.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $141.58 / $316.00 / $3,006.62
| Facility | | $141.58 | $316.00 | $3,006.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $563.00 / $1,749.00 / $2,883.00
| Facility | | $563.00 | $1,749.00 | $2,883.00 |