- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $326.52 / $455.20 / $8,229.00
| Facility | | $326.52 | $455.20 | $8,229.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,041.00 / $2,067.00 / $2,978.00
| Facility | | $1,041.00 | $2,067.00 | $2,978.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $320.52 / $439.95 / $507.51
| Facility | | $320.52 | $439.95 | $507.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $578.22 / $578.22 / $578.22
| Facility | | $578.22 | $578.22 | $578.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $575.00 / $945.00 / $6,295.00
| Facility | | $575.00 | $945.00 | $6,295.00 |