- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $129.84 / $429.53 / $5,634.00
| Facility | | $129.84 | $429.53 | $5,634.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,636.00 / $3,840.00 / $7,036.00
| Facility | | $1,636.00 | $3,840.00 | $7,036.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $120.54 / $156.69 / $500.76
| Facility | | $120.54 | $156.69 | $500.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $225.18 / $402.00 / $1,158.10
| Facility | | $225.18 | $402.00 | $1,158.10 |
- 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 |