- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $518.76 / $8,784.34 / $16,467.00
| Facility | | $518.76 | $8,784.34 | $16,467.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,753.73 / $4,006.27 / $6,738.82
| Facility | | $1,753.73 | $4,006.27 | $6,738.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $521.15 / $580.00 / $1,370.63
| Facility | | $521.15 | $580.00 | $1,370.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $487.51 / $589.72 / $974.57
| Facility | | $487.51 | $589.72 | $974.57 |
- 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 |