- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $521.99 / $658.42 / $2,747.00
| Facility | | $521.99 | $658.42 | $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
- $559.46 / $809.07 / $933.32
| Facility | | $559.46 | $809.07 | $933.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $565.71 / $709.84 / $709.84
| Facility | | $565.71 | $709.84 | $709.84 |
- 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 |