- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $787.00 / $1,226.23 / $2,747.00
| Facility | | $787.00 | $1,226.23 | $2,747.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,643.00 / $3,498.00 / $8,517.00
| Facility | | $1,643.00 | $3,498.00 | $8,517.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,013.59 / $1,447.50 / $1,669.80
| Facility | | $1,013.59 | $1,447.50 | $1,669.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,207.44 / $1,902.43 / $1,902.43
| Facility | | $1,207.44 | $1,902.43 | $1,902.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $842.00 / $4,539.00 / $10,113.00
| Facility | | $842.00 | $4,539.00 | $10,113.00 |