- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $487.72 / $1,488.35 / $7,993.00
| Facility | | $487.72 | $1,488.35 | $7,993.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $606.10 / $606.10 / $2,710.28
| Facility | | $606.10 | $606.10 | $2,710.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $487.72 / $730.00 / $1,151.02
| Facility | | $487.72 | $730.00 | $1,151.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,661.00 / $7,659.00 / $10,502.00
| Facility | | $1,661.00 | $7,659.00 | $10,502.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,302.23 / $2,534.79 / $26,542.00
| Facility | | $2,302.23 | $2,534.79 | $26,542.00 |