- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $156.81 / $156.81 / $261.02
| Facility | | $156.81 | $156.81 | $261.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,423.00 / $16,023.00 / $31,898.00
| Facility | | $9,423.00 | $16,023.00 | $31,898.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $156.81 / $243.27 / $372.38
| Facility | | $156.81 | $243.27 | $372.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $415.00 / $833.00 / $1,928.00
| Facility | | $415.00 | $833.00 | $1,928.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $348.89 / $414.42 / $4,538.68
| Facility | | $348.89 | $414.42 | $4,538.68 |