- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $521.64 / $821.24 / $4,033.63
| Facility | | $521.64 | $821.24 | $4,033.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,241.00 / $9,565.00 / $11,253.00
| Facility | | $8,241.00 | $9,565.00 | $11,253.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $568.41 / $813.54 / $938.49
| Facility | | $568.41 | $813.54 | $938.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $657.91 / $717.55 / $717.55
| Facility | | $657.91 | $717.55 | $717.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $973.00 / $4,639.00 / $12,296.00
| Facility | | $973.00 | $4,639.00 | $12,296.00 |