- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $397.00 / $3,068.00 / $10,126.00
| Facility | | $397.00 | $3,068.00 | $10,126.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.65 / $371.96 / $1,617.28
| Facility | | $30.65 | $371.96 | $1,617.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $426.01 / $1,656.30 / $2,442.00
| Facility | | $426.01 | $1,656.30 | $2,442.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,738.00 / $7,800.00 / $10,000.00
| Facility | | $7,738.00 | $7,800.00 | $10,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $534.00 / $945.00 / $2,872.00
| Facility | | $534.00 | $945.00 | $2,872.00 |