- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,324.00 / $4,521.00 / $7,960.15
| Facility | | $1,324.00 | $4,521.00 | $7,960.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $781.60 / $2,918.30 / $5,113.62
| Facility | | $781.60 | $2,918.30 | $5,113.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $630.00 / $1,894.75 / $3,104.53
| Facility | | $630.00 | $1,894.75 | $3,104.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $553.61 / $684.88 / $4,352.00
| Facility | | $553.61 | $684.88 | $4,352.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,800.00 / $4,398.00 / $7,217.00
| Facility | | $1,800.00 | $4,398.00 | $7,217.00 |