- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $76.04 / $472.76 / $5,634.00
| Facility | | $76.04 | $472.76 | $5,634.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,636.00 / $3,840.00 / $7,036.00
| Facility | | $1,636.00 | $3,840.00 | $7,036.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.08 / $91.10 / $555.53
| Facility | | $70.08 | $91.10 | $555.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $130.58 / $761.00 / $848.27
| Facility | | $130.58 | $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 |