- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $200.07 / $361.23 / $2,747.00
| Facility | | $200.07 | $361.23 | $2,747.00 |
- 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
- $227.51 / $277.02 / $323.42
| Facility | | $227.51 | $277.02 | $323.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $178.71 / $410.41 / $1,829.00
| Facility | | $178.71 | $410.41 | $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 |