- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $207.09 / $338.36 / $4,828.00
| Facility | | $207.09 | $338.36 | $4,828.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $404.37 / $5,762.11 / $12,749.70
| Facility | | $404.37 | $5,762.11 | $12,749.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $855.74 / $1,213.55 / $2,919.35
| Facility | | $855.74 | $1,213.55 | $2,919.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $695.66 / $1,109.47 / $2,298.69
| Facility | | $695.66 | $1,109.47 | $2,298.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $243.58 / $438.44 / $891.00
| Facility | | $243.58 | $438.44 | $891.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,293.00 / $6,652.00 / $9,810.00
| Facility | | $3,293.00 | $6,652.00 | $9,810.00 |