- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $455.47 / $930.53 / $11,093.00
| Facility | | $455.47 | $930.53 | $11,093.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,140.00 / $5,948.00 / $9,462.00
| Facility | | $2,140.00 | $5,948.00 | $9,462.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $449.21 / $583.97 / $752.87
| Facility | | $449.21 | $583.97 | $752.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,314.83 / $1,314.83 / $1,558.60
| Facility | | $1,314.83 | $1,314.83 | $1,558.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,364.00 / $6,032.00 / $10,413.00
| Facility | | $3,364.00 | $6,032.00 | $10,413.00 |