- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $82.46 / $968.03 / $5,634.00
| Facility | | $82.46 | $968.03 | $5,634.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $800.00 / $5,083.00 / $8,240.00
| Facility | | $800.00 | $5,083.00 | $8,240.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.94 / $98.72 / $1,188.53
| Facility | | $75.94 | $98.72 | $1,188.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $141.47 / $761.00 / $1,158.10
| Facility | | $141.47 | $761.00 | $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 |