- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $531.63 / $855.04 / $2,747.00
| Facility | | $531.63 | $855.04 | $2,747.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,643.00 / $3,498.00 / $8,517.00
| Facility | | $1,643.00 | $3,498.00 | $8,517.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $570.13 / $804.55 / $928.11
| Facility | | $570.13 | $804.55 | $928.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $727.37 / $727.37 / $841.95
| Facility | | $727.37 | $727.37 | $841.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $739.00 / $3,828.00 / $8,582.00
| Facility | | $739.00 | $3,828.00 | $8,582.00 |