- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $285.63 / $1,026.76 / $9,062.00
| Facility | | $285.63 | $1,026.76 | $9,062.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,183.77 / $5,970.21 / $9,892.90
| Facility | | $3,183.77 | $5,970.21 | $9,892.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $301.08 / $375.00 / $570.00
| Facility | | $301.08 | $375.00 | $570.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $276.85 / $402.00 / $669.97
| Facility | | $276.85 | $402.00 | $669.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $614.00 / $4,579.00 / $8,667.00
| Facility | | $614.00 | $4,579.00 | $8,667.00 |