- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $200.12 / $200.12 / $2,525.00
| Facility | | $200.12 | $200.12 | $2,525.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $930.73 / $5,890.92 / $13,308.42
| Facility | | $930.73 | $5,890.92 | $13,308.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $466.61 / $661.72 / $1,591.85
| Facility | | $466.61 | $661.72 | $1,591.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $379.32 / $604.97 / $1,253.43
| Facility | | $379.32 | $604.97 | $1,253.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $276.35 / $386.68 / $8,889.79
| Facility | | $276.35 | $386.68 | $8,889.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,293.00 / $6,652.00 / $9,810.00
| Facility | | $3,293.00 | $6,652.00 | $9,810.00 |