- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $598.16 / $936.72 / $8,229.00
| Facility | | $598.16 | $936.72 | $8,229.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,088.00 / $3,967.00 / $8,800.00
| Facility | | $2,088.00 | $3,967.00 | $8,800.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $643.87 / $911.39 / $1,051.34
| Facility | | $643.87 | $911.39 | $1,051.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $819.09 / $819.09 / $922.37
| Facility | | $819.09 | $819.09 | $922.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $523.00 / $1,450.00 / $5,301.00
| Facility | | $523.00 | $1,450.00 | $5,301.00 |