- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $318.52 / $4,499.50 / $30,829.00
| Facility | | $318.52 | $4,499.50 | $30,829.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.00 / $5,677.88 / $9,678.37
| Facility | | $1,000.00 | $5,677.88 | $9,678.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,005.98 / $7,005.98 / $9,002.81
| Facility | | $7,005.98 | $7,005.98 | $9,002.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $243.79 / $375.23 / $539.26
| Facility | | $243.79 | $375.23 | $539.26 |
- 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 |