- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $924.92 / $3,973.00 / $10,573.26
| Facility | | $924.92 | $3,973.00 | $10,573.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,093.79 / $3,936.50 / $6,232.77
| Facility | | $1,093.79 | $3,936.50 | $6,232.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,399.00 / $4,383.00 / $8,757.00
| Facility | | $2,399.00 | $4,383.00 | $8,757.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $413.09 / $680.14 / $2,923.48
| Facility | | $413.09 | $680.14 | $2,923.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,037.00 / $3,561.00 / $5,565.00
| Facility | | $1,037.00 | $3,561.00 | $5,565.00 |