- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,076.78 / $3,498.00 / $10,439.00
| Facility | | $1,076.78 | $3,498.00 | $10,439.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $985.25 / $1,309.48 / $1,592.44
| Facility | | $985.25 | $1,309.48 | $1,592.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $596.00 / $744.00 / $744.00
| Facility | | $596.00 | $744.00 | $744.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $239.54 / $630.78 / $1,435.00
| Facility | | $239.54 | $630.78 | $1,435.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $816.00 / $2,081.00 / $3,918.00
| Facility | | $816.00 | $2,081.00 | $3,918.00 |