- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $156.35 / $787.00 / $9,311.00
| Facility | | $156.35 | $787.00 | $9,311.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,755.00 / $8,584.00 / $11,253.00
| Facility | | $4,755.00 | $8,584.00 | $11,253.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $150.94 / $206.26 / $237.94
| Facility | | $150.94 | $206.26 | $237.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $181.24 / $181.24 / $253.30
| Facility | | $181.24 | $181.24 | $253.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $973.00 / $4,639.00 / $12,296.00
| Facility | | $973.00 | $4,639.00 | $12,296.00 |