- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $302.00 / $4,387.00 / $10,439.00
| Facility | | $302.00 | $4,387.00 | $10,439.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $971.20 / $1,114.03 / $1,142.58
| Facility | | $971.20 | $1,114.03 | $1,142.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $800.00 / $1,464.00 / $1,741.00
| Facility | | $800.00 | $1,464.00 | $1,741.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $148.05 / $257.70 / $2,108.00
| Facility | | $148.05 | $257.70 | $2,108.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,037.00 / $3,096.00 / $5,562.00
| Facility | | $1,037.00 | $3,096.00 | $5,562.00 |