- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $315.32 / $315.32 / $315.32
| Facility | | $315.32 | $315.32 | $315.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.00 / $9,238.04 / $33,458.26
| Facility | | $1.00 | $9,238.04 | $33,458.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $710.87 / $1,008.10 / $2,425.13
| Facility | | $710.87 | $1,008.10 | $2,425.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $577.89 / $921.65 / $1,909.55
| Facility | | $577.89 | $921.65 | $1,909.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $457.52 / $589.62 / $10,831.00
| Facility | | $457.52 | $589.62 | $10,831.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,577.00 / $10,743.00 / $12,774.00
| Facility | | $5,577.00 | $10,743.00 | $12,774.00 |