- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $860.00 / $1,374.46 / $9,311.00
| Facility | | $860.00 | $1,374.46 | $9,311.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,212.00 / $9,015.00 / $11,253.00
| Facility | | $7,212.00 | $9,015.00 | $11,253.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,012.22 / $1,389.33 / $1,602.69
| Facility | | $1,012.22 | $1,389.33 | $1,602.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,222.74 / $1,222.74 / $1,388.32
| Facility | | $1,222.74 | $1,222.74 | $1,388.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $599.00 / $2,723.00 / $6,295.00
| Facility | | $599.00 | $2,723.00 | $6,295.00 |