- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $523.69 / $6,746.00 / $14,805.71
| Facility | | $523.69 | $6,746.00 | $14,805.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,140.00 / $5,958.00 / $9,462.00
| Facility | | $2,140.00 | $5,958.00 | $9,462.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $436.41 / $567.33 / $654.62
| Facility | | $436.41 | $567.33 | $654.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $546.08 / $615.00 / $1,873.52
| Facility | | $546.08 | $615.00 | $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 |