- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $257.48 / $8,553.00 / $90,057.26
| Facility | | $257.48 | $8,553.00 | $90,057.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,785.00 / $8,239.18 / $15,310.83
| Facility | | $2,785.00 | $8,239.18 | $15,310.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $248.49 / $298.19 / $369.08
| Facility | | $248.49 | $298.19 | $369.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $298.02 / $425.00 / $21,571.00
| Facility | | $298.02 | $425.00 | $21,571.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $298.02 / $425.00 / $1,200.00
| Facility | | $298.02 | $425.00 | $1,200.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $650.00 / $2,883.00 / $6,111.00
| Facility | | $650.00 | $2,883.00 | $6,111.00 |