- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $237.50 / $671.49 / $7,278.00
| Facility | | $237.50 | $671.49 | $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
- $237.50 / $488.67 / $719.53
| Facility | | $237.50 | $488.67 | $719.53 |
- 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
- $1,293.56 / $1,469.27 / $16,394.00
| Facility | | $1,293.56 | $1,469.27 | $16,394.00 |