- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,050.00 / $2,640.00 / $6,254.01
| Facility | | $1,050.00 | $2,640.00 | $6,254.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $412.80 / $1,541.29 / $2,700.74
| Facility | | $412.80 | $1,541.29 | $2,700.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $232.16 / $307.00 / $503.01
| Facility | | $232.16 | $307.00 | $503.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $155.09 / $198.04 / $1,117.00
| Facility | | $155.09 | $198.04 | $1,117.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $285.00 / $1,424.00 / $2,057.00
| Facility | | $285.00 | $1,424.00 | $2,057.00 |