- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $356.56 / $5,000.27 / $7,838.38
| Facility | | $356.56 | $5,000.27 | $7,838.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,112.02 / $2,667.74 / $4,247.71
| Facility | | $1,112.02 | $2,667.74 | $4,247.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $147.06 / $147.06 / $353.61
| Facility | | $147.06 | $147.06 | $353.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $207.52 / $305.64 / $469.06
| Facility | | $207.52 | $305.64 | $469.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $200.00 / $1,158.00 / $1,327.00
| Facility | | $200.00 | $1,158.00 | $1,327.00 |