- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $210.52 / $5,866.00 / $16,467.00
| Facility | | $210.52 | $5,866.00 | $16,467.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,588.93 / $3,640.46 / $6,138.71
| Facility | | $1,588.93 | $3,640.46 | $6,138.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $211.29 / $505.00 / $1,370.63
| Facility | | $211.29 | $505.00 | $1,370.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $205.06 / $250.57 / $401.88
| Facility | | $205.06 | $250.57 | $401.88 |
- 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 |