- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $301.88 / $1,000.35 / $10,781.76
| Facility | | $301.88 | $1,000.35 | $10,781.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,757.76 / $6,498.38 / $12,890.36
| Facility | | $3,757.76 | $6,498.38 | $12,890.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,157.88 / $3,060.14 / $7,361.59
| Facility | | $2,157.88 | $3,060.14 | $7,361.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,699.12 / $2,797.70 / $5,796.53
| Facility | | $1,699.12 | $2,797.70 | $5,796.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $479.56 / $1,690.59 / $7,589.09
| Facility | | $479.56 | $1,690.59 | $7,589.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,293.00 / $6,652.00 / $9,810.00
| Facility | | $3,293.00 | $6,652.00 | $9,810.00 |