- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $366.72 / $679.93 / $3,954.54
| Facility | | $366.72 | $679.93 | $3,954.54 |
- 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
- $328.21 / $466.73 / $538.40
| Facility | | $328.21 | $466.73 | $538.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $515.82 / $613.41 / $613.41
| Facility | | $515.82 | $613.41 | $613.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $599.00 / $2,723.00 / $6,295.00
| Facility | | $599.00 | $2,723.00 | $6,295.00 |