- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $447.28 / $1,026.48 / $16,467.00
| Facility | | $447.28 | $1,026.48 | $16,467.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $535.00 / $570.00
| Facility | | $100.00 | $535.00 | $570.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $387.27 / $523.42 / $761.84
| Facility | | $387.27 | $523.42 | $761.84 |
- Facility/Professional
- Facility
- Modifier
- 80
- Low / Median / High Price
- $93.87 / $104.69 / $139.31
| Facility | 80 | $93.87 | $104.69 | $139.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $454.00 / $6,074.00 / $8,818.00
| Facility | | $454.00 | $6,074.00 | $8,818.00 |