- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $766.71 / $9,062.00 / $18,276.00
| Facility | | $766.71 | $9,062.00 | $18,276.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,803.18 / $6,852.09 / $12,097.16
| Facility | | $2,803.18 | $6,852.09 | $12,097.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $715.00 / $763.68 / $2,581.96
| Facility | | $715.00 | $763.68 | $2,581.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $734.46 / $910.00 / $1,444.31
| Facility | | $734.46 | $910.00 | $1,444.31 |
- 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 |