- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $596.78 / $787.00 / $8,229.00
| Facility | | $596.78 | $787.00 | $8,229.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,559.00 / $10,990.10 / $30,856.09
| Facility | | $6,559.00 | $10,990.10 | $30,856.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $628.54 / $917.48 / $1,061.15
| Facility | | $628.54 | $917.48 | $1,061.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $806.51 / $806.51 / $1,034.07
| Facility | | $806.51 | $806.51 | $1,034.07 |
- 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 |