- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $136.10 / $237.59 / $2,384.00
| Facility | | $136.10 | $237.59 | $2,384.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $610.74 / $5,039.39 / $11,441.84
| Facility | | $610.74 | $5,039.39 | $11,441.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $526.91 / $867.16 / $2,086.07
| Facility | | $526.91 | $867.16 | $2,086.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $479.01 / $764.55 / $1,642.58
| Facility | | $479.01 | $764.55 | $1,642.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $173.20 / $313.20 / $686.92
| Facility | | $173.20 | $313.20 | $686.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,623.00 / $4,746.00 / $8,812.00
| Facility | | $1,623.00 | $4,746.00 | $8,812.00 |