- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $535.37 / $7,182.00 / $14,548.88
| Facility | | $535.37 | $7,182.00 | $14,548.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,255.91 / $5,432.22 / $9,590.43
| Facility | | $2,255.91 | $5,432.22 | $9,590.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $505.00 / $1,956.98 / $2,514.75
| Facility | | $505.00 | $1,956.98 | $2,514.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $444.74 / $560.11 / $1,021.84
| Facility | | $444.74 | $560.11 | $1,021.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,981.00 / $10,918.00 / $16,816.00
| Facility | | $1,981.00 | $10,918.00 | $16,816.00 |