- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $292.94 / $587.71 / $8,676.42
| Facility | | $292.94 | $587.71 | $8,676.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,461.99 / $1,461.99 / $1,483.32
| Facility | | $1,461.99 | $1,461.99 | $1,483.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $530.04 / $530.04 / $1,438.74
| Facility | | $530.04 | $530.04 | $1,438.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $483.09 / $667.77 / $1,074.77
| Facility | | $483.09 | $667.77 | $1,074.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $900.00 / $3,733.00 / $6,543.00
| Facility | | $900.00 | $3,733.00 | $6,543.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,313.16 / $2,552.32 / $16,394.00
| Facility | | $2,313.16 | $2,552.32 | $16,394.00 |