- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $340.53 / $1,229.61 / $16,467.00
| Facility | | $340.53 | $1,229.61 | $16,467.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,257.46 / $5,095.07 / $8,656.54
| Facility | | $2,257.46 | $5,095.07 | $8,656.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $506.06 / $715.00 / $2,581.96
| Facility | | $506.06 | $715.00 | $2,581.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $340.53 / $524.79 / $842.96
| Facility | | $340.53 | $524.79 | $842.96 |
- 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 |