- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $103.16 / $982.50 / $7,838.38
| Facility | | $103.16 | $982.50 | $7,838.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $582.75 / $1,962.91 / $3,137.36
| Facility | | $582.75 | $1,962.91 | $3,137.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $113.40 / $113.40 / $579.87
| Facility | | $113.40 | $113.40 | $579.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.12 / $190.07 / $349.18
| Facility | | $66.12 | $190.07 | $349.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $525.00 / $2,516.00 / $2,655.00
| Facility | | $525.00 | $2,516.00 | $2,655.00 |