- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,502.00 / $8,522.00 / $20,952.00
| Facility | | $1,502.00 | $8,522.00 | $20,952.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $172.72 / $1,288.13 / $2,160.46
| Facility | | $172.72 | $1,288.13 | $2,160.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,300.00 / $2,777.00 / $5,904.00
| Facility | | $1,300.00 | $2,777.00 | $5,904.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $434.00 / $711.00 / $2,300.00
| Facility | | $434.00 | $711.00 | $2,300.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,264.00 / $2,307.00 / $6,282.00
| Facility | | $1,264.00 | $2,307.00 | $6,282.00 |