- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $513.30 / $3,998.31 / $7,852.34
| Facility | | $513.30 | $3,998.31 | $7,852.34 |
- 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
- $471.90 / $613.47 / $707.85
| Facility | | $471.90 | $613.47 | $707.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $538.00 / $586.52 / $1,868.80
| Facility | | $538.00 | $586.52 | $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 |