- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $504.08 / $765.47 / $8,229.00
| Facility | | $504.08 | $765.47 | $8,229.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,013.00 / $8,584.00 / $11,253.00
| Facility | | $3,013.00 | $8,584.00 | $11,253.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $534.15 / $778.97 / $898.61
| Facility | | $534.15 | $778.97 | $898.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $658.64 / $684.40 / $684.40
| Facility | | $658.64 | $684.40 | $684.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $745.49 / $3,176.00
| Facility | | $50.00 | $745.49 | $3,176.00 |