- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $986.04 / $5,107.18 / $14,548.88
| Facility | | $986.04 | $5,107.18 | $14,548.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,829.27 / $10,337.65 / $17,877.47
| Facility | | $4,829.27 | $10,337.65 | $17,877.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $505.00 / $780.00 / $8,233.00
| Facility | | $505.00 | $780.00 | $8,233.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $723.92 / $1,005.80 / $1,649.45
| Facility | | $723.92 | $1,005.80 | $1,649.45 |
- 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 |