- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $339.66 / $786.15 / $7,278.00
| Facility | | $339.66 | $786.15 | $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
- $349.85 / $605.65 / $892.94
| Facility | | $349.85 | $605.65 | $892.94 |
- 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
- $1,583.76 / $1,741.35 / $16,394.00
| Facility | | $1,583.76 | $1,741.35 | $16,394.00 |