- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $102.59 / $927.00 / $7,212.00
| Facility | | $102.59 | $927.00 | $7,212.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $600.00 / $4,119.97 / $8,230.00
| Facility | | $600.00 | $4,119.97 | $8,230.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $94.29 / $122.58 / $141.44
| Facility | | $94.29 | $122.58 | $141.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $121.52 / $674.63 / $761.00
| Facility | | $121.52 | $674.63 | $761.00 |
- 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 |