- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,256.00 / $2,794.39 / $7,602.00
| Facility | | $1,256.00 | $2,794.39 | $7,602.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,673.00 / $5,998.00 / $9,283.00
| Facility | | $2,673.00 | $5,998.00 | $9,283.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $500.00 / $2,277.00 / $4,038.10
| Facility | | $500.00 | $2,277.00 | $4,038.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $16,547.20 / $16,547.20
| Facility | | $55.00 | $16,547.20 | $16,547.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,485.00 / $4,937.00 / $10,111.00
| Facility | | $1,485.00 | $4,937.00 | $10,111.00 |