- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $574.02 / $2,318.00 / $14,063.00
| Facility | | $574.02 | $2,318.00 | $14,063.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,065.00 / $9,219.00 / $37,919.46
| Facility | | $3,065.00 | $9,219.00 | $37,919.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $575.36 / $789.71 / $1,184.57
| Facility | | $575.36 | $789.71 | $1,184.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,409.28 / $11,409.28 / $13,524.58
| Facility | | $11,409.28 | $11,409.28 | $13,524.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,058.00 / $12,330.00 / $17,416.00
| Facility | | $5,058.00 | $12,330.00 | $17,416.00 |