- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $175.58 / $405.67 / $3,653.04
| Facility | | $175.58 | $405.67 | $3,653.04 |
- 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
- $173.54 / $211.32 / $246.70
| Facility | | $173.54 | $211.32 | $246.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $172.06 / $313.06 / $1,829.00
| Facility | | $172.06 | $313.06 | $1,829.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $599.00 / $1,945.00 / $5,995.00
| Facility | | $599.00 | $1,945.00 | $5,995.00 |