- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $595.50 / $3,498.00 / $10,439.00
| Facility | | $595.50 | $3,498.00 | $10,439.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $984.20 / $1,450.76 / $2,689.23
| Facility | | $984.20 | $1,450.76 | $2,689.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $505.00 / $505.00 / $505.00
| Facility | | $505.00 | $505.00 | $505.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $321.49 / $480.02 / $2,944.00
| Facility | | $321.49 | $480.02 | $2,944.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,436.00 / $3,096.00 / $5,562.00
| Facility | | $1,436.00 | $3,096.00 | $5,562.00 |