- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $978.06 / $9,062.00 / $18,276.00
| Facility | | $978.06 | $9,062.00 | $18,276.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,054.52 / $3,883.00 / $6,494.50
| Facility | | $2,054.52 | $3,883.00 | $6,494.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $715.00 / $715.00 / $1,604.11
| Facility | | $715.00 | $715.00 | $1,604.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $840.79 / $1,000.00 / $1,393.00
| Facility | | $840.79 | $1,000.00 | $1,393.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $659.00 / $6,607.00 / $8,667.00
| Facility | | $659.00 | $6,607.00 | $8,667.00 |