- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $476.57 / $4,846.00 / $8,739.36
| Facility | | $476.57 | $4,846.00 | $8,739.36 |
- 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
- $443.29 / $576.28 / $664.94
| Facility | | $443.29 | $576.28 | $664.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $538.00 / $553.14 / $1,873.52
| Facility | | $538.00 | $553.14 | $1,873.52 |
- 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 |