- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $658.01 / $9,062.00 / $18,276.00
| Facility | | $658.01 | $9,062.00 | $18,276.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,294.50 / $7,206.40 / $12,212.57
| Facility | | $3,294.50 | $7,206.40 | $12,212.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $652.37 / $715.00 / $2,581.96
| Facility | | $652.37 | $715.00 | $2,581.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $638.10 / $835.37 / $1,252.14
| Facility | | $638.10 | $835.37 | $1,252.14 |
- 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 |