- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $496.91 / $754.58 / $2,747.00
| Facility | | $496.91 | $754.58 | $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
- $542.66 / $767.30 / $885.13
| Facility | | $542.66 | $767.30 | $885.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $671.06 / $671.06 / $743.03
| Facility | | $671.06 | $671.06 | $743.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $739.00 / $3,828.00 / $8,582.00
| Facility | | $739.00 | $3,828.00 | $8,582.00 |