- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $387.04 / $951.30 / $9,062.00
| Facility | | $387.04 | $951.30 | $9,062.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $754.00 / $1,723.23 / $3,019.19
| Facility | | $754.00 | $1,723.23 | $3,019.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $140.38 / $353.61 / $570.00
| Facility | | $140.38 | $353.61 | $570.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $248.15 / $365.58 / $572.95
| Facility | | $248.15 | $365.58 | $572.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $1,138.00 / $3,585.00
| Facility | | $100.00 | $1,138.00 | $3,585.00 |