- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $101.03 / $152.69 / $8,229.00
| Facility | | $101.03 | $152.69 | $8,229.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,041.00 / $2,067.00 / $2,978.00
| Facility | | $1,041.00 | $2,067.00 | $2,978.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $97.68 / $134.08 / $154.66
| Facility | | $97.68 | $134.08 | $154.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $176.22 / $176.22 / $176.22
| Facility | | $176.22 | $176.22 | $176.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59.00 / $100.00 / $3,176.00
| Facility | | $59.00 | $100.00 | $3,176.00 |