- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $143.62 / $789.00 / $5,634.00
| Facility | | $143.62 | $789.00 | $5,634.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $800.00 / $5,083.00 / $8,240.00
| Facility | | $800.00 | $5,083.00 | $8,240.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $131.30 / $170.69 / $962.36
| Facility | | $131.30 | $170.69 | $962.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $247.55 / $761.00 / $1,158.10
| Facility | | $247.55 | $761.00 | $1,158.10 |
- 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 |