- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $230.75 / $784.12 / $7,212.00
| Facility | | $230.75 | $784.12 | $7,212.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,234.00 / $5,117.00 / $8,240.00
| Facility | | $2,234.00 | $5,117.00 | $8,240.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $212.39 / $276.11 / $318.58
| Facility | | $212.39 | $276.11 | $318.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $267.37 / $538.00 / $1,158.10
| Facility | | $267.37 | $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 |