- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $808.06 / $808.06 / $6,781.00
| Facility | | $808.06 | $808.06 | $6,781.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,765.99 / $8,480.52 / $18,388.81
| Facility | | $3,765.99 | $8,480.52 | $18,388.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,139.35 / $3,033.86 / $7,298.37
| Facility | | $2,139.35 | $3,033.86 | $7,298.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,739.14 / $2,773.68 / $5,746.75
| Facility | | $1,739.14 | $2,773.68 | $5,746.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,163.33 / $1,765.80 / $9,255.00
| Facility | | $1,163.33 | $1,765.80 | $9,255.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,293.00 / $6,652.00 / $9,810.00
| Facility | | $3,293.00 | $6,652.00 | $9,810.00 |