- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $249.68 / $658.81 / $5,449.00
| Facility | | $249.68 | $658.81 | $5,449.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,585.61 / $1,585.61 / $1,608.75
| Facility | | $1,585.61 | $1,585.61 | $1,608.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $395.75 / $395.75 / $2,062.80
| Facility | | $395.75 | $395.75 | $2,062.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $249.68 / $467.00 / $724.38
| Facility | | $249.68 | $467.00 | $724.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,661.00 / $7,659.00 / $10,502.00
| Facility | | $1,661.00 | $7,659.00 | $10,502.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,765.32 / $1,765.32 / $12,000.00
| Facility | | $1,765.32 | $1,765.32 | $12,000.00 |