- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $776.84 / $1,615.00 / $10,561.00
| Facility | | $776.84 | $1,615.00 | $10,561.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.71 / $518.28 / $35,600.00
| Facility | | $0.71 | $518.28 | $35,600.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $766.84 / $963.80 / $1,432.51
| Facility | | $766.84 | $963.80 | $1,432.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $773.00 / $1,208.00 / $9,324.00
| Facility | | $773.00 | $1,208.00 | $9,324.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $5,926.56 / $7,220.96
| Facility | | $55.00 | $5,926.56 | $7,220.96 |