- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $529.41 / $860.00 / $7,909.08
| Facility | | $529.41 | $860.00 | $7,909.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,643.00 / $3,498.00 / $9,863.00
| Facility | | $1,643.00 | $3,498.00 | $9,863.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $585.17 / $832.73 / $960.62
| Facility | | $585.17 | $832.73 | $960.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $681.50 / $732.07 / $732.07
| Facility | | $681.50 | $732.07 | $732.07 |
- 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 |