- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $235.47 / $368.98 / $11,270.00
| Facility | | $235.47 | $368.98 | $11,270.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $272.75 / $515.00 / $606.10
| Facility | | $272.75 | $515.00 | $606.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $235.47 / $301.00 / $449.79
| Facility | | $235.47 | $301.00 | $449.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,461.00 / $2,050.00 / $15,712.00
| Facility | | $1,461.00 | $2,050.00 | $15,712.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $531.96 / $1,573.00 / $10,160.00
| Facility | | $531.96 | $1,573.00 | $10,160.00 |