- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $485.94 / $3,102.00 / $10,836.00
| Facility | | $485.94 | $3,102.00 | $10,836.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,509.15 / $2,612.61 / $5,501.09
| Facility | | $1,509.15 | $2,612.61 | $5,501.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $228.46 / $228.46 / $376.91
| Facility | | $228.46 | $228.46 | $376.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,701.96 / $26,542.00 / $26,542.00
| Facility | | $1,701.96 | $26,542.00 | $26,542.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $228.21 / $338.92 / $505.86
| Facility | | $228.21 | $338.92 | $505.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $228.21 / $338.92 / $514.58
| Facility | | $228.21 | $338.92 | $514.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,124.00 / $3,314.00 / $7,600.00
| Facility | | $1,124.00 | $3,314.00 | $7,600.00 |