- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $428.17 / $3,137.00 / $8,982.29
| Facility | | $428.17 | $3,137.00 | $8,982.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,152.00 / $2,894.00 / $8,800.00
| Facility | | $1,152.00 | $2,894.00 | $8,800.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $279.47 / $335.36 / $415.09
| Facility | | $279.47 | $335.36 | $415.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,571.00 / $21,571.00 / $21,571.00
| Facility | | $21,571.00 | $21,571.00 | $21,571.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,546.71 / $3,902.08 / $11,429.20
| Facility | | $1,546.71 | $3,902.08 | $11,429.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,647.00 / $4,410.00 / $7,351.00
| Facility | | $2,647.00 | $4,410.00 | $7,351.00 |