- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,023.00 / $3,569.00 / $13,151.00
| Facility | | $1,023.00 | $3,569.00 | $13,151.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,029.59 / $1,208.26 / $2,761.75
| Facility | | $1,029.59 | $1,208.26 | $2,761.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,284.00 / $1,630.00 / $1,630.00
| Facility | | $1,284.00 | $1,630.00 | $1,630.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $579.51 / $812.92 / $2,622.00
| Facility | | $579.51 | $812.92 | $2,622.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,037.00 / $3,096.00 / $5,562.00
| Facility | | $1,037.00 | $3,096.00 | $5,562.00 |