- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,671.00 / $4,521.00 / $7,960.15
| Facility | | $1,671.00 | $4,521.00 | $7,960.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $888.80 / $3,318.56 / $5,814.97
| Facility | | $888.80 | $3,318.56 | $5,814.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $717.00 / $3,280.17 / $5,374.52
| Facility | | $717.00 | $3,280.17 | $5,374.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $640.35 / $820.08 / $3,627.00
| Facility | | $640.35 | $820.08 | $3,627.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $845.00 / $3,311.00 / $5,133.00
| Facility | | $845.00 | $3,311.00 | $5,133.00 |