- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $232.48 / $1,386.00 / $7,212.00
| Facility | | $232.48 | $1,386.00 | $7,212.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,943.00 / $5,117.00 / $8,240.00
| Facility | | $1,943.00 | $5,117.00 | $8,240.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $218.69 / $278.72 / $321.60
| Facility | | $218.69 | $278.72 | $321.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $269.26 / $538.00 / $1,158.10
| Facility | | $269.26 | $538.00 | $1,158.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $900.00 / $3,817.00 / $5,402.00
| Facility | | $900.00 | $3,817.00 | $5,402.00 |