- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $184.11 / $2,825.56 / $9,062.00
| Facility | | $184.11 | $2,825.56 | $9,062.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,911.23 / $7,198.98 / $12,183.21
| Facility | | $3,911.23 | $7,198.98 | $12,183.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $263.30 / $560.00 / $615.00
| Facility | | $263.30 | $560.00 | $615.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $181.36 / $976.19 / $1,464.29
| Facility | | $181.36 | $976.19 | $1,464.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $1,138.00 / $3,585.00
| Facility | | $100.00 | $1,138.00 | $3,585.00 |