- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,023.00 / $4,387.00 / $10,439.00
| Facility | | $1,023.00 | $4,387.00 | $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 / $2,437.00
| Facility | | $1,284.00 | $1,982.00 | $2,437.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $165.52 / $333.79 / $1,162.00
| Facility | | $165.52 | $333.79 | $1,162.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $816.00 / $2,081.00 / $3,918.00
| Facility | | $816.00 | $2,081.00 | $3,918.00 |