- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $570.04 / $2,747.00 / $7,481.87
| Facility | | $570.04 | $2,747.00 | $7,481.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,150.00 / $7,463.00 / $11,091.00
| Facility | | $4,150.00 | $7,463.00 | $11,091.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $443.77 / $443.77 / $443.77
| Facility | | $443.77 | $443.77 | $443.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $977.36 / $3,380.47 / $5,409.72
| Facility | | $977.36 | $3,380.47 | $5,409.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $570.04 / $2,675.00 / $7,799.00
| Facility | | $570.04 | $2,675.00 | $7,799.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $443.77 / $443.77 / $443.77
| Facility | | $443.77 | $443.77 | $443.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $377.51 / $377.51 / $451.70
| Facility | | $377.51 | $377.51 | $451.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,334.00 / $2,824.00 / $5,678.00
| Facility | | $1,334.00 | $2,824.00 | $5,678.00 |