- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $441.14 / $787.00 / $2,747.00
| Facility | | $441.14 | $787.00 | $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
- $472.33 / $677.07 / $781.05
| Facility | | $472.33 | $677.07 | $781.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $596.91 / $596.91 / $640.75
| Facility | | $596.91 | $596.91 | $640.75 |
- 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 |