- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $237.32 / $413.37 / $2,525.00
| Facility | | $237.32 | $413.37 | $2,525.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $477.58 / $4,575.71 / $10,098.06
| Facility | | $477.58 | $4,575.71 | $10,098.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,041.04 / $1,476.32 / $3,551.49
| Facility | | $1,041.04 | $1,476.32 | $3,551.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $835.99 / $1,349.71 / $2,796.45
| Facility | | $835.99 | $1,349.71 | $2,796.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $274.16 / $501.06 / $1,265.18
| Facility | | $274.16 | $501.06 | $1,265.18 |
- 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 |