- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $404.84 / $3,500.97 / $8,331.26
| Facility | | $404.84 | $3,500.97 | $8,331.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,234.00 / $5,126.00 / $13,758.00
| Facility | | $2,234.00 | $5,126.00 | $13,758.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $325.86 / $423.62 / $488.79
| Facility | | $325.86 | $423.62 | $488.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $408.89 / $538.00 / $2,513.90
| Facility | | $408.89 | $538.00 | $2,513.90 |
- 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 |