- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $242.12 / $267.10 / $308.14
| Facility | | $242.12 | $267.10 | $308.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,128.00 / $8,584.00 / $11,253.00
| Facility | | $4,128.00 | $8,584.00 | $11,253.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $285.73 / $392.18 / $452.41
| Facility | | $285.73 | $392.18 | $452.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $346.00 / $346.00 / $346.00
| Facility | | $346.00 | $346.00 | $346.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $523.00 / $1,450.00 / $5,301.00
| Facility | | $523.00 | $1,450.00 | $5,301.00 |