- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $165.41 / $950.71 / $9,062.00
| Facility | | $165.41 | $950.71 | $9,062.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $520.00 / $1,504.78 / $3,438.91
| Facility | | $520.00 | $1,504.78 | $3,438.91 |
- 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
- $165.41 / $248.00 / $645.13
| Facility | | $165.41 | $248.00 | $645.13 |
- 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 |