- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $388.05 / $4,428.29 / $9,519.66
| Facility | | $388.05 | $4,428.29 | $9,519.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,278.00 / $7,581.00 / $14,620.00
| Facility | | $3,278.00 | $7,581.00 | $14,620.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $348.09 / $443.64 / $533.21
| Facility | | $348.09 | $443.64 | $533.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,243.79 / $2,243.79 / $2,243.79
| Facility | | $2,243.79 | $2,243.79 | $2,243.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,364.00 / $6,094.00 / $10,413.00
| Facility | | $3,364.00 | $6,094.00 | $10,413.00 |