- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $415.42 / $2,547.00 / $10,635.00
| Facility | | $415.42 | $2,547.00 | $10,635.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,742.00 / $8,566.00 / $60,294.00
| Facility | | $2,742.00 | $8,566.00 | $60,294.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $277.31 / $352.19 / $440.52
| Facility | | $277.31 | $352.19 | $440.52 |
- 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
- $354.91 / $354.91 / $354.91
| Facility | | $354.91 | $354.91 | $354.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,873.00 / $10,707.00 / $16,745.00
| Facility | | $4,873.00 | $10,707.00 | $16,745.00 |