- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $544.42 / $9,062.00 / $20,929.00
| Facility | | $544.42 | $9,062.00 | $20,929.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,154.44 / $6,454.34 / $11,190.33
| Facility | | $3,154.44 | $6,454.34 | $11,190.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $545.70 / $580.00 / $2,581.96
| Facility | | $545.70 | $580.00 | $2,581.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $484.45 / $648.20 / $1,030.68
| Facility | | $484.45 | $648.20 | $1,030.68 |
- 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 |