- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $364.18 / $1,386.00 / $11,093.00
| Facility | | $364.18 | $1,386.00 | $11,093.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,309.00 / $6,474.00 / $13,810.27
| Facility | | $3,309.00 | $6,474.00 | $13,810.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $390.14 / $532.01 / $798.02
| Facility | | $390.14 | $532.01 | $798.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,824.01 / $2,824.01 / $2,824.01
| Facility | | $2,824.01 | $2,824.01 | $2,824.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,364.00 / $6,094.00 / $10,413.00
| Facility | | $3,364.00 | $6,094.00 | $10,413.00 |