- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $249.10 / $425.84 / $2,525.00
| Facility | | $249.10 | $425.84 | $2,525.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $501.53 / $4,575.71 / $10,098.06
| Facility | | $501.53 | $4,575.71 | $10,098.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,068.83 / $1,515.74 / $3,646.31
| Facility | | $1,068.83 | $1,515.74 | $3,646.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $867.92 / $1,385.75 / $2,871.11
| Facility | | $867.92 | $1,385.75 | $2,871.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $287.20 / $516.98 / $1,303.32
| Facility | | $287.20 | $516.98 | $1,303.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,735.00 / $4,974.00 / $8,812.00
| Facility | | $2,735.00 | $4,974.00 | $8,812.00 |