- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $760.84 / $5,454.75 / $16,467.00
| Facility | | $760.84 | $5,454.75 | $16,467.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,143.48 / $5,058.89 / $9,222.64
| Facility | | $2,143.48 | $5,058.89 | $9,222.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,529.27 / $1,529.27 / $1,965.14
| Facility | | $1,529.27 | $1,529.27 | $1,965.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $656.54 / $841.36 / $1,464.14
| Facility | | $656.54 | $841.36 | $1,464.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,981.00 / $10,918.00 / $16,772.00
| Facility | | $1,981.00 | $10,918.00 | $16,772.00 |