- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $160.44 / $619.27 / $7,212.00
| Facility | | $160.44 | $619.27 | $7,212.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,943.00 / $5,117.00 / $8,240.00
| Facility | | $1,943.00 | $5,117.00 | $8,240.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $148.04 / $192.45 / $725.84
| Facility | | $148.04 | $192.45 | $725.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $277.18 / $538.00 / $1,158.10
| Facility | | $277.18 | $538.00 | $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 |