- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $276.43 / $2,602.00 / $10,268.00
| Facility | | $276.43 | $2,602.00 | $10,268.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,121.00 / $3,080.00 / $19,117.00
| Facility | | $1,121.00 | $3,080.00 | $19,117.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $143.51 / $172.21 / $213.15
| Facility | | $143.51 | $172.21 | $213.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $173.23 / $5,125.60 / $8,647.12
| Facility | | $173.23 | $5,125.60 | $8,647.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $530.00 / $2,511.00 / $6,441.75
| Facility | | $530.00 | $2,511.00 | $6,441.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $675.00 / $2,499.00 / $5,235.00
| Facility | | $675.00 | $2,499.00 | $5,235.00 |