- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $281.70 / $9,062.00 / $18,276.00
| Facility | | $281.70 | $9,062.00 | $18,276.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.27 / $8,750.93 / $19,507.71
| Facility | | $1.27 | $8,750.93 | $19,507.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $274.48 / $274.48 / $890.00
| Facility | | $274.48 | $274.48 | $890.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $270.95 / $356.58 / $577.49
| Facility | | $270.95 | $356.58 | $577.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $358.00 / $1,134.00 / $2,922.00
| Facility | | $358.00 | $1,134.00 | $2,922.00 |