- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $332.05 / $2,338.69 / $7,426.73
| Facility | | $332.05 | $2,338.69 | $7,426.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,058.00 / $4,545.62 / $8,878.62
| Facility | | $1,058.00 | $4,545.62 | $8,878.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $133.99 / $560.00 / $615.00
| Facility | | $133.99 | $560.00 | $615.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $123.26 / $166.11 / $245.84
| Facility | | $123.26 | $166.11 | $245.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $1,138.00 / $3,585.00
| Facility | | $100.00 | $1,138.00 | $3,585.00 |