- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $476.03 / $1,006.46 / $9,062.00
| Facility | | $476.03 | $1,006.46 | $9,062.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $520.00 / $1,401.39 / $3,234.31
| Facility | | $520.00 | $1,401.39 | $3,234.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $360.00 / $425.00 / $834.39
| Facility | | $360.00 | $425.00 | $834.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $201.74 / $463.30 / $702.63
| Facility | | $201.74 | $463.30 | $702.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $586.00 / $6,172.00 / $8,667.00
| Facility | | $586.00 | $6,172.00 | $8,667.00 |