- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $559.29 / $7,182.00 / $60,823.00
| Facility | | $559.29 | $7,182.00 | $60,823.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,397.04 / $3,716.71 / $6,467.30
| Facility | | $1,397.04 | $3,716.71 | $6,467.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,248.31 / $1,248.31 / $1,604.11
| Facility | | $1,248.31 | $1,248.31 | $1,604.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $427.03 / $656.00 / $958.23
| Facility | | $427.03 | $656.00 | $958.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $659.00 / $6,607.00 / $8,667.00
| Facility | | $659.00 | $6,607.00 | $8,667.00 |