- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $522.41 / $9,622.00 / $18,276.00
| Facility | | $522.41 | $9,622.00 | $18,276.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,388.14 / $7,206.40 / $12,492.30
| Facility | | $3,388.14 | $7,206.40 | $12,492.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $524.12 / $1,130.00 / $2,581.96
| Facility | | $524.12 | $1,130.00 | $2,581.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $499.38 / $626.00 / $1,043.82
| Facility | | $499.38 | $626.00 | $1,043.82 |
- 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 |