- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $132.10 / $685.42 / $7,212.00
| Facility | | $132.10 | $685.42 | $7,212.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,234.00 / $5,126.00 / $8,240.00
| Facility | | $2,234.00 | $5,126.00 | $8,240.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $127.02 / $170.06 / $304.85
| Facility | | $127.02 | $170.06 | $304.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $232.28 / $477.79 / $1,375.01
| Facility | | $232.28 | $477.79 | $1,375.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,399.00 / $5,995.00 / $10,413.00
| Facility | | $1,399.00 | $5,995.00 | $10,413.00 |