- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59.81 / $535.00 / $5,320.00
| Facility | | $59.81 | $535.00 | $5,320.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,584.00 / $10,099.00 / $11,253.00
| Facility | | $8,584.00 | $10,099.00 | $11,253.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59.04 / $81.03 / $93.48
| Facility | | $59.04 | $81.03 | $93.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $106.50 / $106.50 / $106.50
| Facility | | $106.50 | $106.50 | $106.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $597.00 / $3,176.00
| Facility | | $50.00 | $597.00 | $3,176.00 |