- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $331.69 / $457.63 / $2,168.00
| Facility | | $331.69 | $457.63 | $2,168.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,630.25 / $5,423.15 / $11,441.84
| Facility | | $1,630.25 | $5,423.15 | $11,441.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,063.00 / $1,659.07 / $3,991.12
| Facility | | $1,063.00 | $1,659.07 | $3,991.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $921.18 / $1,462.76 / $3,142.61
| Facility | | $921.18 | $1,462.76 | $3,142.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $379.32 / $704.42 / $1,326.02
| Facility | | $379.32 | $704.42 | $1,326.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,224.00 / $3,500.00 / $6,361.00
| Facility | | $1,224.00 | $3,500.00 | $6,361.00 |