- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $289.35 / $667.16 / $9,062.00
| Facility | | $289.35 | $667.16 | $9,062.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $529.27 / $1,180.40 / $2,200.19
| Facility | | $529.27 | $1,180.40 | $2,200.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $375.00 / $440.00 / $834.39
| Facility | | $375.00 | $440.00 | $834.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $122.85 / $276.49 / $477.98
| Facility | | $122.85 | $276.49 | $477.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $586.00 / $6,172.00 / $8,667.00
| Facility | | $586.00 | $6,172.00 | $8,667.00 |