- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,848.00 / $4,747.00 / $10,439.00
| Facility | | $1,848.00 | $4,747.00 | $10,439.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $984.20 / $1,381.68 / $2,299.67
| Facility | | $984.20 | $1,381.68 | $2,299.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $442.00 / $442.00 / $442.00
| Facility | | $442.00 | $442.00 | $442.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $329.85 / $510.45 / $3,331.00
| Facility | | $329.85 | $510.45 | $3,331.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $825.00 / $2,081.00 / $3,842.00
| Facility | | $825.00 | $2,081.00 | $3,842.00 |