- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $550.78 / $9,062.00 / $18,276.00
| Facility | | $550.78 | $9,062.00 | $18,276.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,366.50 / $6,861.51 / $12,097.16
| Facility | | $3,366.50 | $6,861.51 | $12,097.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $551.66 / $715.00 / $2,581.96
| Facility | | $551.66 | $715.00 | $2,581.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $530.26 / $656.00 / $1,045.50
| Facility | | $530.26 | $656.00 | $1,045.50 |
- 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 |