- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $236.43 / $987.70 / $9,062.00
| Facility | | $236.43 | $987.70 | $9,062.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,770.18 / $7,418.23 / $12,492.30
| Facility | | $3,770.18 | $7,418.23 | $12,492.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $352.34 / $352.34 / $2,345.00
| Facility | | $352.34 | $352.34 | $2,345.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $236.43 / $825.36 / $1,631.92
| Facility | | $236.43 | $825.36 | $1,631.92 |
- 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 |