- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $419.11 / $1,386.00 / $7,212.00
| Facility | | $419.11 | $1,386.00 | $7,212.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,943.00 / $5,117.00 / $8,240.00
| Facility | | $1,943.00 | $5,117.00 | $8,240.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $403.59 / $514.38 / $593.52
| Facility | | $403.59 | $514.38 | $593.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $492.29 / $538.00 / $1,868.80
| Facility | | $492.29 | $538.00 | $1,868.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,500.00 / $5,995.00 / $9,243.00
| Facility | | $1,500.00 | $5,995.00 | $9,243.00 |