- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $833.89 / $13,335.00 / $18,035.02
| Facility | | $833.89 | $13,335.00 | $18,035.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,860.32 / $10,437.45 / $18,018.52
| Facility | | $4,860.32 | $10,437.45 | $18,018.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $826.92 / $2,345.00 / $7,718.92
| Facility | | $826.92 | $2,345.00 | $7,718.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $798.01 / $906.82 / $1,602.92
| Facility | | $798.01 | $906.82 | $1,602.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,028.00 / $19,526.00 / $24,161.00
| Facility | | $3,028.00 | $19,526.00 | $24,161.00 |