- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $424.56 / $671.79 / $10,561.00
| Facility | | $424.56 | $671.79 | $10,561.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $748.70 / $748.70 / $2,710.28
| Facility | | $748.70 | $748.70 | $2,710.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $424.57 / $604.91 / $890.45
| Facility | | $424.57 | $604.91 | $890.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,248.00 / $9,541.00 / $14,589.00
| Facility | | $2,248.00 | $9,541.00 | $14,589.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,651.56 / $8,957.00 / $26,542.00
| Facility | | $1,651.56 | $8,957.00 | $26,542.00 |