- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $157.29 / $481.07 / $7,278.00
| Facility | | $157.29 | $481.07 | $7,278.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $530.04 / $530.04 / $820.28
| Facility | | $530.04 | $530.04 | $820.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $157.29 / $371.20 / $558.59
| Facility | | $157.29 | $371.20 | $558.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $554.00 / $2,417.00 / $4,102.00
| Facility | | $554.00 | $2,417.00 | $4,102.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,108.32 / $1,108.32 / $16,394.00
| Facility | | $1,108.32 | $1,108.32 | $16,394.00 |