- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $95.11 / $342.81 / $7,212.00
| Facility | | $95.11 | $342.81 | $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
- $93.13 / $124.68 / $216.53
| Facility | | $93.13 | $124.68 | $216.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $170.77 / $477.79 / $1,375.01
| Facility | | $170.77 | $477.79 | $1,375.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $462.00 / $2,811.00 / $4,271.00
| Facility | | $462.00 | $2,811.00 | $4,271.00 |