- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $506.14 / $674.79 / $2,747.00
| Facility | | $506.14 | $674.79 | $2,747.00 |
- 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
- $453.69 / $644.17 / $743.11
| Facility | | $453.69 | $644.17 | $743.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $462.03 / $846.64 / $846.64
| Facility | | $462.03 | $846.64 | $846.64 |
- 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 |