- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $181.97 / $181.97 / $6,309.57
| Facility | | $181.97 | $181.97 | $6,309.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.00 / $3,235.94 / $7,413.10
| Facility | | $1,000.00 | $3,235.94 | $7,413.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $467.74 / $660.69 / $1,548.82
| Facility | | $467.74 | $660.69 | $1,548.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $501.19 / $630.96 / $1,230.27
| Facility | | $501.19 | $630.96 | $1,230.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $177.83 / $407.38 / $46,773.51
| Facility | | $177.83 | $407.38 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,691.53 / $3,981.07 / $6,456.54
| Facility | | $2,691.53 | $3,981.07 | $6,456.54 |