- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59.92 / $2,130.00 / $6,681.00
| Facility | | $59.92 | $2,130.00 | $6,681.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $497.00 / $1,283.00 / $2,024.00
| Facility | | $497.00 | $1,283.00 | $2,024.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.74 / $500.00 / $1,652.00
| Facility | | $24.74 | $500.00 | $1,652.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.64 / $320.64 / $320.64
| Facility | | $53.64 | $320.64 | $320.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $231.00 / $740.00 / $2,127.00
| Facility | | $231.00 | $740.00 | $2,127.00 |