- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $313.62 / $970.34 / $9,727.00
| Facility | | $313.62 | $970.34 | $9,727.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $431.83 / $756.48 / $1,346.70
| Facility | | $431.83 | $756.48 | $1,346.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $347.41 / $347.41 / $446.43
| Facility | | $347.41 | $347.41 | $446.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $272.89 / $389.40 / $658.45
| Facility | | $272.89 | $389.40 | $658.45 |
- 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 |