- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $120.79 / $810.24 / $9,062.00
| Facility | | $120.79 | $810.24 | $9,062.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $520.00 / $1,349.02 / $3,261.33
| Facility | | $520.00 | $1,349.02 | $3,261.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $360.00 / $425.00 / $1,139.16
| Facility | | $360.00 | $425.00 | $1,139.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $120.79 / $347.45 / $583.07
| Facility | | $120.79 | $347.45 | $583.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $586.00 / $6,172.00 / $8,667.00
| Facility | | $586.00 | $6,172.00 | $8,667.00 |