- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $757.16 / $9,062.00 / $18,276.00
| Facility | | $757.16 | $9,062.00 | $18,276.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,294.50 / $7,206.40 / $12,212.57
| Facility | | $3,294.50 | $7,206.40 | $12,212.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $715.00 / $789.73 / $5,740.31
| Facility | | $715.00 | $789.73 | $5,740.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $687.05 / $916.16 / $1,448.12
| Facility | | $687.05 | $916.16 | $1,448.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,327.00 / $12,269.00 / $19,591.00
| Facility | | $2,327.00 | $12,269.00 | $19,591.00 |