- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,235.00 / $2,248.00 / $3,793.00
| Facility | | $1,235.00 | $2,248.00 | $3,793.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $326.08 / $810.39 / $1,879.70
| Facility | | $326.08 | $810.39 | $1,879.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $728.46 / $1,235.00 / $2,625.00
| Facility | | $728.46 | $1,235.00 | $2,625.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $720.00 / $1,200.00 / $3,943.00
| Facility | | $720.00 | $1,200.00 | $3,943.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.97 / $410.39 / $16,362.64
| Facility | | $8.97 | $410.39 | $16,362.64 |