- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $716.63 / $1,347.50 / $9,062.00
| Facility | | $716.63 | $1,347.50 | $9,062.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $632.00 / $1,502.66 / $3,327.47
| Facility | | $632.00 | $1,502.66 | $3,327.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $375.00 / $615.00 / $834.39
| Facility | | $375.00 | $615.00 | $834.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $281.76 / $385.96 / $534.42
| Facility | | $281.76 | $385.96 | $534.42 |
- 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 |