- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $760.16 / $9,062.00 / $18,276.00
| Facility | | $760.16 | $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 / $759.97 / $5,740.31
| Facility | | $715.00 | $759.97 | $5,740.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $728.67 / $912.19 / $1,449.64
| Facility | | $728.67 | $912.19 | $1,449.64 |
- 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 |