- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $641.00 / $2,434.00 / $7,799.00
| Facility | | $641.00 | $2,434.00 | $7,799.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,058.35 / $6,182.00 / $17,094.48
| Facility | | $5,058.35 | $6,182.00 | $17,094.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $405.47 / $405.47 / $405.47
| Facility | | $405.47 | $405.47 | $405.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $657.00 / $2,422.00 / $8,017.00
| Facility | | $657.00 | $2,422.00 | $8,017.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $405.47 / $405.47 / $405.47
| Facility | | $405.47 | $405.47 | $405.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $286.57 / $341.21 / $341.21
| Facility | | $286.57 | $341.21 | $341.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,334.00 / $2,824.00 / $5,678.00
| Facility | | $1,334.00 | $2,824.00 | $5,678.00 |