- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $105.93 / $787.00 / $8,229.00
| Facility | | $105.93 | $787.00 | $8,229.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,014.00 / $8,584.00 / $11,253.00
| Facility | | $4,014.00 | $8,584.00 | $11,253.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $101.18 / $138.74 / $164.75
| Facility | | $101.18 | $138.74 | $164.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $105.33 / $124.92 / $124.92
| Facility | | $105.33 | $124.92 | $124.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $523.00 / $1,339.00 / $5,301.00
| Facility | | $523.00 | $1,339.00 | $5,301.00 |