- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72.06 / $439.40 / $5,634.00
| Facility | | $72.06 | $439.40 | $5,634.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,636.00 / $3,635.00 / $5,445.00
| Facility | | $1,636.00 | $3,635.00 | $5,445.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.73 / $86.76 / $365.09
| Facility | | $66.73 | $86.76 | $365.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $124.24 / $402.00 / $674.63
| Facility | | $124.24 | $402.00 | $674.63 |
- 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 |