- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,507.25 / $3,617.00 / $7,467.00
| Facility | | $1,507.25 | $3,617.00 | $7,467.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $672.35 / $2,613.46 / $4,140.09
| Facility | | $672.35 | $2,613.46 | $4,140.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $600.00 / $600.00 / $697.00
| Facility | | $600.00 | $600.00 | $697.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $713.93 / $1,625.00 / $5,107.00
| Facility | | $713.93 | $1,625.00 | $5,107.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,066.00 / $3,365.00 / $5,307.00
| Facility | | $2,066.00 | $3,365.00 | $5,307.00 |