- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $139.36 / $581.49 / $7,212.00
| Facility | | $139.36 | $581.49 | $7,212.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,943.00 / $5,117.00 / $8,240.00
| Facility | | $1,943.00 | $5,117.00 | $8,240.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $129.10 / $167.83 / $298.11
| Facility | | $129.10 | $167.83 | $298.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $236.86 / $538.00 / $1,868.80
| Facility | | $236.86 | $538.00 | $1,868.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,500.00 / $5,995.00 / $9,243.00
| Facility | | $1,500.00 | $5,995.00 | $9,243.00 |