- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $553.05 / $8,783.00 / $16,639.00
| Facility | | $553.05 | $8,783.00 | $16,639.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,276.66 / $5,135.30 / $9,383.48
| Facility | | $2,276.66 | $5,135.30 | $9,383.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $545.78 / $580.00 / $3,200.28
| Facility | | $545.78 | $580.00 | $3,200.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $542.33 / $669.00 / $1,037.09
| Facility | | $542.33 | $669.00 | $1,037.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,155.00 / $12,456.00 / $19,591.00
| Facility | | $2,155.00 | $12,456.00 | $19,591.00 |