- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $585.42 / $7,182.00 / $10,054.48
| Facility | | $585.42 | $7,182.00 | $10,054.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,366.50 / $7,206.40 / $12,097.16
| Facility | | $3,366.50 | $7,206.40 | $12,097.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $505.00 / $579.54 / $2,581.96
| Facility | | $505.00 | $579.54 | $2,581.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $559.00 / $675.00 / $1,123.28
| Facility | | $559.00 | $675.00 | $1,123.28 |
- 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 |