- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $549.20 / $961.78 / $2,747.00
| Facility | | $549.20 | $961.78 | $2,747.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,643.00 / $3,498.00 / $8,769.00
| Facility | | $1,643.00 | $3,498.00 | $8,769.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $595.78 / $854.10 / $985.26
| Facility | | $595.78 | $854.10 | $985.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $751.78 / $751.78 / $1,103.02
| Facility | | $751.78 | $751.78 | $1,103.02 |
- 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 |