- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $426.48 / $787.00 / $8,229.00
| Facility | | $426.48 | $787.00 | $8,229.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,041.00 / $2,067.00 / $2,978.00
| Facility | | $1,041.00 | $2,067.00 | $2,978.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $518.66 / $700.22 / $807.77
| Facility | | $518.66 | $700.22 | $807.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $567.80 / $619.72 / $619.72
| Facility | | $567.80 | $619.72 | $619.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $523.00 / $1,450.00 / $5,301.00
| Facility | | $523.00 | $1,450.00 | $5,301.00 |