- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $401.36 / $4,278.09 / $4,828.00
| Facility | | $401.36 | $4,278.09 | $4,828.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,091.29 / $9,232.28 / $20,505.30
| Facility | | $2,091.29 | $9,232.28 | $20,505.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,606.81 / $14,993.74 / $36,069.48
| Facility | | $9,606.81 | $14,993.74 | $36,069.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,710.05 / $13,219.56 / $28,401.16
| Facility | | $7,710.05 | $13,219.56 | $28,401.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $529.45 / $3,896.13 / $11,771.93
| Facility | | $529.45 | $3,896.13 | $11,771.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,437.00 / $9,370.00 / $12,774.00
| Facility | | $3,437.00 | $9,370.00 | $12,774.00 |