- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $152.53 / $335.20 / $8,229.00
| Facility | | $152.53 | $335.20 | $8,229.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,643.00 / $3,498.00 / $8,517.00
| Facility | | $1,643.00 | $3,498.00 | $8,517.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $149.69 / $205.48 / $237.03
| Facility | | $149.69 | $205.48 | $237.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $270.06 / $270.06 / $270.06
| Facility | | $270.06 | $270.06 | $270.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $523.00 / $794.00 / $5,301.00
| Facility | | $523.00 | $794.00 | $5,301.00 |