- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $336.60 / $3,364.93 / $21,385.29
| Facility | | $336.60 | $3,364.93 | $21,385.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $309.36 / $434.83 / $575.00
| Facility | | $309.36 | $434.83 | $575.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $237.32 / $377.99 / $605.40
| Facility | | $237.32 | $377.99 | $605.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $393.00 / $661.00 / $4,824.00
| Facility | | $393.00 | $661.00 | $4,824.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $1,730.22 / $2,116.15
| Facility | | $55.00 | $1,730.22 | $2,116.15 |