- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $229.04 / $927.00 / $7,212.00
| Facility | | $229.04 | $927.00 | $7,212.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $800.00 / $5,757.57 / $8,240.00
| Facility | | $800.00 | $5,757.57 | $8,240.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $210.50 / $273.64 / $315.75
| Facility | | $210.50 | $273.64 | $315.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $263.76 / $761.00 / $1,158.10
| Facility | | $263.76 | $761.00 | $1,158.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $900.00 / $3,817.00 / $5,402.00
| Facility | | $900.00 | $3,817.00 | $5,402.00 |