- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $422.18 / $607.30 / $5,930.21
| Facility | | $422.18 | $607.30 | $5,930.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,945.00 / $6,814.00 / $12,521.00
| Facility | | $1,945.00 | $6,814.00 | $12,521.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $375.78 / $537.32 / $619.84
| Facility | | $375.78 | $537.32 | $619.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $506.72 / $706.19 / $8,380.00
| Facility | | $506.72 | $706.19 | $8,380.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $739.00 / $3,828.00 / $8,582.00
| Facility | | $739.00 | $3,828.00 | $8,582.00 |