- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $428.29 / $1,386.00 / $7,212.00
| Facility | | $428.29 | $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
- $406.01 / $517.47 / $597.08
| Facility | | $406.01 | $517.47 | $597.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $498.46 / $538.00 / $1,873.52
| Facility | | $498.46 | $538.00 | $1,873.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,500.00 / $5,995.00 / $9,243.00
| Facility | | $1,500.00 | $5,995.00 | $9,243.00 |