- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $861.91 / $2,318.00 / $14,063.00
| Facility | | $861.91 | $2,318.00 | $14,063.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,065.00 / $9,219.00 / $37,919.46
| Facility | | $3,065.00 | $9,219.00 | $37,919.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $859.85 / $1,180.19 / $1,770.29
| Facility | | $859.85 | $1,180.19 | $1,770.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,019.05 / $12,019.05 / $14,247.40
| Facility | | $12,019.05 | $12,019.05 | $14,247.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,058.00 / $12,330.00 / $17,416.00
| Facility | | $5,058.00 | $12,330.00 | $17,416.00 |