- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $471.39 / $1,574.13 / $16,467.00
| Facility | | $471.39 | $1,574.13 | $16,467.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,900.85 / $4,957.82 / $8,588.78
| Facility | | $1,900.85 | $4,957.82 | $8,588.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $580.00 / $706.45 / $2,581.96
| Facility | | $580.00 | $706.45 | $2,581.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $469.52 / $664.50 / $1,068.16
| Facility | | $469.52 | $664.50 | $1,068.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,550.00 / $10,257.00 / $16,249.00
| Facility | | $1,550.00 | $10,257.00 | $16,249.00 |