- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $220.14 / $597.53 / $8,229.00
| Facility | | $220.14 | $597.53 | $8,229.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,066.00 / $2,315.00 / $4,322.00
| Facility | | $1,066.00 | $2,315.00 | $4,322.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $214.09 / $293.85 / $338.98
| Facility | | $214.09 | $293.85 | $338.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $386.20 / $386.20 / $386.20
| Facility | | $386.20 | $386.20 | $386.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $523.00 / $1,339.00 / $5,301.00
| Facility | | $523.00 | $1,339.00 | $5,301.00 |