- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.44 / $2,547.00 / $10,635.00
| Facility | | $56.44 | $2,547.00 | $10,635.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,392.00 / $8,916.52 / $16,045.41
| Facility | | $3,392.00 | $8,916.52 | $16,045.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.54 / $32.54 / $47.38
| Facility | | $32.54 | $32.54 | $47.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,571.00 / $21,571.00 / $21,571.00
| Facility | | $21,571.00 | $21,571.00 | $21,571.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,778.00 / $14,170.00 / $25,361.00
| Facility | | $5,778.00 | $14,170.00 | $25,361.00 |