- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $328.36 / $787.00 / $9,532.60
| Facility | | $328.36 | $787.00 | $9,532.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,258.00 / $2,316.00 / $4,229.00
| Facility | | $1,258.00 | $2,316.00 | $4,229.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $319.50 / $434.71 / $501.47
| Facility | | $319.50 | $434.71 | $501.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $382.07 / $382.07 / $480.50
| Facility | | $382.07 | $382.07 | $480.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $523.00 / $1,450.00 / $5,301.00
| Facility | | $523.00 | $1,450.00 | $5,301.00 |