- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $154.88 / $891.25 / $11,748.98
| Facility | | $154.88 | $891.25 | $11,748.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.00 / $912.01 / $2,187.76
| Facility | | $1.00 | $912.01 | $2,187.76 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $0.02 / $0.02 / $0.02
| Facility | 50 | $0.02 | $0.02 | $0.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,089.30 / $2,951.21 / $6,918.31
| Facility | | $2,089.30 | $2,951.21 | $6,918.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,238.72 / $2,818.38 / $5,495.41
| Facility | | $2,238.72 | $2,818.38 | $5,495.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $218.78 / $1,230.27 / $2,398.83
| Facility | | $218.78 | $1,230.27 | $2,398.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,445.44 / $2,089.30 / $3,467.37
| Facility | | $1,445.44 | $2,089.30 | $3,467.37 |