- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $739.67 / $10,341.00 / $20,498.00
| Facility | | $739.67 | $10,341.00 | $20,498.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,474.08 / $11,301.77 / $19,729.47
| Facility | | $4,474.08 | $11,301.77 | $19,729.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $751.41 / $1,100.00 / $5,740.31
| Facility | | $751.41 | $1,100.00 | $5,740.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $694.72 / $856.56 / $1,467.19
| Facility | | $694.72 | $856.56 | $1,467.19 |
- 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 |