- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $896.00 / $1,222.58 / $10,152.00
| Facility | | $896.00 | $1,222.58 | $10,152.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,320.00 / $4,334.00 / $11,433.00
| Facility | | $2,320.00 | $4,334.00 | $11,433.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,087.54 / $1,492.69 / $1,721.93
| Facility | | $1,087.54 | $1,492.69 | $1,721.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,234.93 / $1,322.76 / $1,322.76
| Facility | | $1,234.93 | $1,322.76 | $1,322.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $842.00 / $4,539.00 / $10,113.00
| Facility | | $842.00 | $4,539.00 | $10,113.00 |