- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,074.50 / $3,701.00 / $10,439.00
| Facility | | $1,074.50 | $3,701.00 | $10,439.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $719.00 / $1,004.45 / $1,592.44
| Facility | | $719.00 | $1,004.45 | $1,592.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $800.00 / $933.00 / $1,098.00
| Facility | | $800.00 | $933.00 | $1,098.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $210.93 / $307.70 / $3,181.00
| Facility | | $210.93 | $307.70 | $3,181.00 |
- 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 |