- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $436.30 / $1,386.00 / $11,093.00
| Facility | | $436.30 | $1,386.00 | $11,093.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,473.00 / $7,890.00 / $20,600.00
| Facility | | $3,473.00 | $7,890.00 | $20,600.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $400.47 / $520.61 / $600.71
| Facility | | $400.47 | $520.61 | $600.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $506.60 / $615.00 / $6,561.47
| Facility | | $506.60 | $615.00 | $6,561.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,300.00 / $11,200.00 / $17,416.00
| Facility | | $3,300.00 | $11,200.00 | $17,416.00 |