- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $232.06 / $541.30 / $5,634.00
| Facility | | $232.06 | $541.30 | $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
- $212.80 / $276.64 / $626.22
| Facility | | $212.80 | $276.64 | $626.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $399.26 / $402.00 / $949.22
| Facility | | $399.26 | $402.00 | $949.22 |
- 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 |