- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,087.00 / $4,387.00 / $10,439.00
| Facility | | $1,087.00 | $4,387.00 | $10,439.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $762.85 / $2,048.38 / $2,490.29
| Facility | | $762.85 | $2,048.38 | $2,490.29 |
- 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
- $434.59 / $681.73 / $5,562.00
| Facility | | $434.59 | $681.73 | $5,562.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,436.00 / $3,096.00 / $5,565.00
| Facility | | $1,436.00 | $3,096.00 | $5,565.00 |