- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $130.40 / $905.45 / $2,168.00
| Facility | | $130.40 | $905.45 | $2,168.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.98 / $528.55 / $1,036.01
| Facility | | $0.98 | $528.55 | $1,036.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,958.26 / $2,777.06 / $6,680.60
| Facility | | $1,958.26 | $2,777.06 | $6,680.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,541.94 / $2,538.90 / $5,260.31
| Facility | | $1,541.94 | $2,538.90 | $5,260.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $205.58 / $1,278.07 / $2,055.85
| Facility | | $205.58 | $1,278.07 | $2,055.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $563.00 / $1,749.00 / $2,883.00
| Facility | | $563.00 | $1,749.00 | $2,883.00 |