- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $513.16 / $789.76 / $6,953.60
| Facility | | $513.16 | $789.76 | $6,953.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $515.00 / $2,997.51 / $5,654.79
| Facility | | $515.00 | $2,997.51 | $5,654.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $513.16 / $709.00 / $1,009.00
| Facility | | $513.16 | $709.00 | $1,009.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,461.00 / $2,050.00 / $15,712.00
| Facility | | $1,461.00 | $2,050.00 | $15,712.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $3,415.79 / $16,547.20
| Facility | | $55.00 | $3,415.79 | $16,547.20 |