- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $766.51 / $5,515.65 / $16,467.00
| Facility | | $766.51 | $5,515.65 | $16,467.00 |
- 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
- $580.00 / $756.83 / $2,581.96
| Facility | | $580.00 | $756.83 | $2,581.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $660.42 / $891.57 / $1,339.85
| Facility | | $660.42 | $891.57 | $1,339.85 |
- 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 |