- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $734.40 / $9,062.00 / $18,276.00
| Facility | | $734.40 | $9,062.00 | $18,276.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,366.50 / $7,206.40 / $12,212.57
| Facility | | $3,366.50 | $7,206.40 | $12,212.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $715.00 / $733.93 / $5,740.31
| Facility | | $715.00 | $733.93 | $5,740.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $709.91 / $906.00 / $1,398.56
| Facility | | $709.91 | $906.00 | $1,398.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,327.00 / $13,190.00 / $23,893.00
| Facility | | $2,327.00 | $13,190.00 | $23,893.00 |