- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $400.54 / $1,141.03 / $9,727.00
| Facility | | $400.54 | $1,141.03 | $9,727.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,954.79 / $4,592.52 / $9,356.17
| Facility | | $1,954.79 | $4,592.52 | $9,356.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $375.00 / $1,774.26 / $2,279.96
| Facility | | $375.00 | $1,774.26 | $2,279.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $359.74 / $561.02 / $804.93
| Facility | | $359.74 | $561.02 | $804.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $791.00 / $10,257.00 / $16,249.00
| Facility | | $791.00 | $10,257.00 | $16,249.00 |