- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $280.27 / $677.10 / $7,278.00
| Facility | | $280.27 | $677.10 | $7,278.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $530.04 / $530.04 / $2,710.28
| Facility | | $530.04 | $530.04 | $2,710.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $285.10 / $529.78 / $769.39
| Facility | | $285.10 | $529.78 | $769.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,661.00 / $7,659.00 / $10,502.00
| Facility | | $1,661.00 | $7,659.00 | $10,502.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,372.96 / $1,524.89 / $16,394.00
| Facility | | $1,372.96 | $1,524.89 | $16,394.00 |