- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,350.00 / $3,426.00 / $8,366.00
| Facility | | $1,350.00 | $3,426.00 | $8,366.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.24 / $372.49 / $1,621.66
| Facility | | $30.24 | $372.49 | $1,621.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,374.00 / $2,114.23 / $5,020.01
| Facility | | $1,374.00 | $2,114.23 | $5,020.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,738.00 / $10,000.00 / $10,000.00
| Facility | | $7,738.00 | $10,000.00 | $10,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $370.00 / $666.00 / $1,895.00
| Facility | | $370.00 | $666.00 | $1,895.00 |