- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $666.55 / $2,318.00 / $11,093.00
| Facility | | $666.55 | $2,318.00 | $11,093.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,473.00 / $7,890.00 / $30,900.00
| Facility | | $3,473.00 | $7,890.00 | $30,900.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $691.01 / $910.52 / $1,365.78
| Facility | | $691.01 | $910.52 | $1,365.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,133.27 / $6,133.27 / $7,270.40
| Facility | | $6,133.27 | $6,133.27 | $7,270.40 |
- 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 |