- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $340.42 / $787.00 / $8,229.00
| Facility | | $340.42 | $787.00 | $8,229.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,258.00 / $2,316.00 / $6,559.00
| Facility | | $1,258.00 | $2,316.00 | $6,559.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $331.68 / $455.25 / $525.16
| Facility | | $331.68 | $455.25 | $525.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $400.86 / $400.86 / $400.86
| Facility | | $400.86 | $400.86 | $400.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $575.00 / $945.00 / $6,295.00
| Facility | | $575.00 | $945.00 | $6,295.00 |