- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $377.46 / $1,723.72 / $17,225.00
| Facility | | $377.46 | $1,723.72 | $17,225.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,581.00 / $8,240.00 / $17,296.00
| Facility | | $3,581.00 | $8,240.00 | $17,296.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $350.03 / $455.04 / $525.04
| Facility | | $350.03 | $455.04 | $525.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $441.79 / $761.00 / $1,873.52
| Facility | | $441.79 | $761.00 | $1,873.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,000.00 / $7,818.00 / $11,284.00
| Facility | | $2,000.00 | $7,818.00 | $11,284.00 |