- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $325.33 / $453.32 / $8,229.00
| Facility | | $325.33 | $453.32 | $8,229.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,041.00 / $2,067.00 / $2,978.00
| Facility | | $1,041.00 | $2,067.00 | $2,978.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $318.20 / $436.76 / $503.82
| Facility | | $318.20 | $436.76 | $503.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $574.02 / $574.02 / $574.02
| Facility | | $574.02 | $574.02 | $574.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $523.00 / $794.00 / $5,301.00
| Facility | | $523.00 | $794.00 | $5,301.00 |