- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $296.47 / $824.00 / $5,634.00
| Facility | | $296.47 | $824.00 | $5,634.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $800.00 / $5,757.57 / $8,240.00
| Facility | | $800.00 | $5,757.57 | $8,240.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $272.05 / $353.67 / $408.08
| Facility | | $272.05 | $353.67 | $408.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $341.86 / $761.00 / $848.27
| Facility | | $341.86 | $761.00 | $848.27 |
- 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 |