- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $723.55 / $3,513.51 / $7,278.00
| Facility | | $723.55 | $3,513.51 | $7,278.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,094.75 / $2,094.75 / $2,993.14
| Facility | | $2,094.75 | $2,094.75 | $2,993.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $530.04 / $530.04 / $8,026.61
| Facility | | $530.04 | $530.04 | $8,026.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $469.91 / $692.50 / $1,022.16
| Facility | | $469.91 | $692.50 | $1,022.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,248.00 / $9,541.00 / $14,589.00
| Facility | | $2,248.00 | $9,541.00 | $14,589.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,826.80 / $23,153.24 / $26,526.55
| Facility | | $1,826.80 | $23,153.24 | $26,526.55 |