- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $227.42 / $853.10 / $16,467.00
| Facility | | $227.42 | $853.10 | $16,467.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,388.54 / $5,135.30 / $8,981.33
| Facility | | $2,388.54 | $5,135.30 | $8,981.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $580.00 / $580.00 / $3,200.28
| Facility | | $580.00 | $580.00 | $3,200.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $199.27 / $322.81 / $470.54
| Facility | | $199.27 | $322.81 | $470.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,155.00 / $12,798.00 / $19,665.00
| Facility | | $2,155.00 | $12,798.00 | $19,665.00 |