- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $786.31 / $975.04 / $7,397.00
| Facility | | $786.31 | $975.04 | $7,397.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,668.39 / $8,480.52 / $18,388.81
| Facility | | $3,668.39 | $8,480.52 | $18,388.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,084.60 / $2,956.23 / $7,111.60
| Facility | | $2,084.60 | $2,956.23 | $7,111.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,694.63 / $2,702.70 / $5,599.69
| Facility | | $1,694.63 | $2,702.70 | $5,599.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $979.83 / $1,720.24 / $10,493.00
| Facility | | $979.83 | $1,720.24 | $10,493.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,940.00 / $8,689.00 / $11,531.00
| Facility | | $3,940.00 | $8,689.00 | $11,531.00 |