- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $708.77 / $9,062.00 / $18,276.00
| Facility | | $708.77 | $9,062.00 | $18,276.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,366.50 / $7,263.19 / $12,097.16
| Facility | | $3,366.50 | $7,263.19 | $12,097.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $706.77 / $715.00 / $2,581.96
| Facility | | $706.77 | $715.00 | $2,581.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $684.11 / $855.00 / $1,352.03
| Facility | | $684.11 | $855.00 | $1,352.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,114.00 / $12,271.00 / $22,523.00
| Facility | | $5,114.00 | $12,271.00 | $22,523.00 |