- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,511.00 / $4,470.00 / $10,439.00
| Facility | | $1,511.00 | $4,470.00 | $10,439.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $653.00 / $914.05 / $1,920.17
| Facility | | $653.00 | $914.05 | $1,920.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,284.00 / $1,982.00 / $1,982.00
| Facility | | $1,284.00 | $1,982.00 | $1,982.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $177.70 / $276.75 / $1,925.00
| Facility | | $177.70 | $276.75 | $1,925.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $717.00 / $2,081.00 / $3,842.00
| Facility | | $717.00 | $2,081.00 | $3,842.00 |