- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $522.28 / $9,062.00 / $20,498.00
| Facility | | $522.28 | $9,062.00 | $20,498.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,335.21 / $7,069.60 / $11,780.16
| Facility | | $3,335.21 | $7,069.60 | $11,780.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $525.99 / $580.00 / $2,581.96
| Facility | | $525.99 | $580.00 | $2,581.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $506.14 / $624.04 / $997.44
| Facility | | $506.14 | $624.04 | $997.44 |
- 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 |