- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $253.19 / $1,381.00 / $9,504.00
| Facility | | $253.19 | $1,381.00 | $9,504.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,051.00 / $1,981.00 / $3,943.00
| Facility | | $1,051.00 | $1,981.00 | $3,943.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $165.05 / $240.33 / $240.33
| Facility | | $165.05 | $240.33 | $240.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,571.00 / $21,571.00 / $21,571.00
| Facility | | $21,571.00 | $21,571.00 | $21,571.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $381.62 / $799.37 / $2,573.37
| Facility | | $381.62 | $799.37 | $2,573.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,020.00 / $1,930.00 / $4,067.00
| Facility | | $1,020.00 | $1,930.00 | $4,067.00 |