- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $361.73 / $6,967.30 / $12,671.01
| Facility | | $361.73 | $6,967.30 | $12,671.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,904.00 / $7,747.00 / $14,389.00
| Facility | | $2,904.00 | $7,747.00 | $14,389.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $284.13 / $362.13 / $417.84
| Facility | | $284.13 | $362.13 | $417.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $346.02 / $865.00 / $1,868.80
| Facility | | $346.02 | $865.00 | $1,868.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,500.00 / $5,995.00 / $9,243.00
| Facility | | $1,500.00 | $5,995.00 | $9,243.00 |