- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $460.74 / $1,194.00 / $9,155.07
| Facility | | $460.74 | $1,194.00 | $9,155.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,755.00 / $8,584.00 / $11,253.00
| Facility | | $4,755.00 | $8,584.00 | $11,253.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $447.00 / $609.10 / $702.64
| Facility | | $447.00 | $609.10 | $702.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $534.47 / $534.47 / $757.81
| Facility | | $534.47 | $534.47 | $757.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,600.00 / $14,324.00 / $33,259.00
| Facility | | $1,600.00 | $14,324.00 | $33,259.00 |