- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $226.47 / $557.00 / $8,229.00
| Facility | | $226.47 | $557.00 | $8,229.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,421.00 / $2,542.00 / $4,650.00
| Facility | | $1,421.00 | $2,542.00 | $4,650.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $221.74 / $304.35 / $351.08
| Facility | | $221.74 | $304.35 | $351.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $267.37 / $267.37 / $267.37
| Facility | | $267.37 | $267.37 | $267.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $523.00 / $794.00 / $5,301.00
| Facility | | $523.00 | $794.00 | $5,301.00 |