- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $498.96 / $1,123.72 / $16,467.00
| Facility | | $498.96 | $1,123.72 | $16,467.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,840.36 / $3,149.26 / $10,178.12
| Facility | | $1,840.36 | $3,149.26 | $10,178.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $535.00 / $570.00
| Facility | | $100.00 | $535.00 | $570.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $406.00 / $548.86 / $848.23
| Facility | | $406.00 | $548.86 | $848.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $710.00 / $10,069.00 / $16,249.00
| Facility | | $710.00 | $10,069.00 | $16,249.00 |