- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $296.47 / $1,386.00 / $7,212.00
| Facility | | $296.47 | $1,386.00 | $7,212.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,943.00 / $5,117.00 / $8,240.00
| Facility | | $1,943.00 | $5,117.00 | $8,240.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $277.80 / $354.06 / $408.53
| Facility | | $277.80 | $354.06 | $408.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $341.86 / $761.00 / $848.27
| Facility | | $341.86 | $761.00 | $848.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $900.00 / $3,817.00 / $5,402.00
| Facility | | $900.00 | $3,817.00 | $5,402.00 |