- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $320.11 / $922.28 / $11,571.21
| Facility | | $320.11 | $922.28 | $11,571.21 |
- 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
- $321.05 / $439.36 / $506.84
| Facility | | $321.05 | $439.36 | $506.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $340.34 / $385.46 / $385.46
| Facility | | $340.34 | $385.46 | $385.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $739.00 / $3,828.00 / $8,582.00
| Facility | | $739.00 | $3,828.00 | $8,582.00 |