- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $482.71 / $988.47 / $10,152.00
| Facility | | $482.71 | $988.47 | $10,152.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,062.90 / $9,565.00 / $21,322.13
| Facility | | $7,062.90 | $9,565.00 | $21,322.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $524.79 / $715.51 / $825.40
| Facility | | $524.79 | $715.51 | $825.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $495.28 / $631.16 / $631.16
| Facility | | $495.28 | $631.16 | $631.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $739.00 / $3,828.00 / $8,582.00
| Facility | | $739.00 | $3,828.00 | $8,582.00 |