- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $576.87 / $750.74 / $8,229.00
| Facility | | $576.87 | $750.74 | $8,229.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,712.00 / $4,972.00 / $11,294.00
| Facility | | $2,712.00 | $4,972.00 | $11,294.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $504.91 / $710.26 / $811.73
| Facility | | $504.91 | $710.26 | $811.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $552.96 / $933.49 / $1,117.44
| Facility | | $552.96 | $933.49 | $1,117.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $599.00 / $2,723.00 / $6,295.00
| Facility | | $599.00 | $2,723.00 | $6,295.00 |