- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $251.20 / $4,086.00 / $5,586.78
| Facility | | $251.20 | $4,086.00 | $5,586.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64.81 / $71.30 / $120.99
| Facility | | $64.81 | $71.30 | $120.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $266.20 / $384.00 / $529.24
| Facility | | $266.20 | $384.00 | $529.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $158.19 / $213.64 / $314.88
| Facility | | $158.19 | $213.64 | $314.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.00 / $120.00 / $1,251.00
| Facility | | $54.00 | $120.00 | $1,251.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $900.96 / $2,000.00 / $12,000.00
| Facility | | $900.96 | $2,000.00 | $12,000.00 |