- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $406.96 / $2,258.00 / $6,681.00
| Facility | | $406.96 | $2,258.00 | $6,681.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,401.00 / $3,457.00 / $5,774.00
| Facility | | $1,401.00 | $3,457.00 | $5,774.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $343.71 / $1,487.00 / $1,935.03
| Facility | | $343.71 | $1,487.00 | $1,935.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,700.52 / $7,929.30 / $12,000.00
| Facility | | $1,700.52 | $7,929.30 | $12,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $875.00 / $2,257.00 / $4,099.00
| Facility | | $875.00 | $2,257.00 | $4,099.00 |