- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $152.94 / $836.75 / $9,062.00
| Facility | | $152.94 | $836.75 | $9,062.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $520.00 / $1,504.78 / $3,447.14
| Facility | | $520.00 | $1,504.78 | $3,447.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $375.00 / $440.00 / $1,139.16
| Facility | | $375.00 | $440.00 | $1,139.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $152.94 / $225.85 / $586.20
| Facility | | $152.94 | $225.85 | $586.20 |
- 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 |