- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $597.00 / $8,783.00 / $16,639.00
| Facility | | $597.00 | $8,783.00 | $16,639.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,237.07 / $4,787.01 / $8,473.82
| Facility | | $2,237.07 | $4,787.01 | $8,473.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $580.00 / $595.54 / $1,158.06
| Facility | | $580.00 | $595.54 | $1,158.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $529.09 / $714.27 / $1,135.47
| Facility | | $529.09 | $714.27 | $1,135.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $729.00 / $6,607.00 / $8,667.00
| Facility | | $729.00 | $6,607.00 | $8,667.00 |