- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $422.93 / $1,559.60 / $7,112.33
| Facility | | $422.93 | $1,559.60 | $7,112.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $748.70 / $748.70 / $1,587.44
| Facility | | $748.70 | $748.70 | $1,587.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $351.18 / $614.39 / $930.00
| Facility | | $351.18 | $614.39 | $930.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,661.00 / $7,659.00 / $10,502.00
| Facility | | $1,661.00 | $7,659.00 | $10,502.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,683.92 / $1,859.39 / $26,542.00
| Facility | | $1,683.92 | $1,859.39 | $26,542.00 |