- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $337.14 / $636.48 / $7,968.00
| Facility | | $337.14 | $636.48 | $7,968.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $395.75 / $395.75 / $1,215.60
| Facility | | $395.75 | $395.75 | $1,215.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $337.14 / $625.91 / $942.39
| Facility | | $337.14 | $625.91 | $942.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $554.00 / $2,417.00 / $4,102.00
| Facility | | $554.00 | $2,417.00 | $4,102.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $1,709.43 / $1,709.43
| Facility | | $55.00 | $1,709.43 | $1,709.43 |