- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $666.47 / $9,062.00 / $60,823.00
| Facility | | $666.47 | $9,062.00 | $60,823.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,024.07 / $5,677.88 / $9,815.44
| Facility | | $2,024.07 | $5,677.88 | $9,815.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,760.72 / $2,760.72 / $3,547.58
| Facility | | $2,760.72 | $2,760.72 | $3,547.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $480.99 / $741.40 / $1,104.01
| Facility | | $480.99 | $741.40 | $1,104.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,155.00 / $12,798.00 / $19,665.00
| Facility | | $2,155.00 | $12,798.00 | $19,665.00 |