- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $471.40 / $8,783.00 / $16,639.00
| Facility | | $471.40 | $8,783.00 | $16,639.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,871.55 / $4,006.27 / $6,738.82
| Facility | | $1,871.55 | $4,006.27 | $6,738.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $470.94 / $580.00 / $1,370.63
| Facility | | $470.94 | $580.00 | $1,370.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $422.37 / $535.92 / $889.93
| Facility | | $422.37 | $535.92 | $889.93 |
- 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 |