- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $562.37 / $9,062.00 / $18,276.00
| Facility | | $562.37 | $9,062.00 | $18,276.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,366.50 / $7,206.40 / $12,212.57
| Facility | | $3,366.50 | $7,206.40 | $12,212.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $562.44 / $715.00 / $2,581.96
| Facility | | $562.44 | $715.00 | $2,581.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $537.46 / $711.72 / $1,066.00
| Facility | | $537.46 | $711.72 | $1,066.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,155.00 / $12,456.00 / $19,591.00
| Facility | | $2,155.00 | $12,456.00 | $19,591.00 |