- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $593.02 / $1,499.38 / $6,953.60
| Facility | | $593.02 | $1,499.38 | $6,953.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $424.97 / $1,927.35 / $3,635.94
| Facility | | $424.97 | $1,927.35 | $3,635.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $369.83 / $552.79 / $653.11
| Facility | | $369.83 | $552.79 | $653.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $773.00 / $1,208.00 / $9,324.00
| Facility | | $773.00 | $1,208.00 | $9,324.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $2,393.02 / $10,639.60
| Facility | | $55.00 | $2,393.02 | $10,639.60 |