- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $513.73 / $637.00 / $8,229.00
| Facility | | $513.73 | $637.00 | $8,229.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,643.00 / $3,428.00 / $8,517.00
| Facility | | $1,643.00 | $3,428.00 | $8,517.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $532.63 / $748.37 / $855.28
| Facility | | $532.63 | $748.37 | $855.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $445.76 / $658.41 / $1,322.53
| Facility | | $445.76 | $658.41 | $1,322.53 |
- 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 |