- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $124.66 / $6,393.03 / $9,647.33
| Facility | | $124.66 | $6,393.03 | $9,647.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.77 / $1.31 / $2,783.73
| Facility | | $0.77 | $1.31 | $2,783.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $125.35 / $125.35 / $890.00
| Facility | | $125.35 | $125.35 | $890.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $121.46 / $158.62 / $249.08
| Facility | | $121.46 | $158.62 | $249.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $225.00 / $1,221.00 / $3,585.00
| Facility | | $225.00 | $1,221.00 | $3,585.00 |