- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $388.61 / $4,187.04 / $7,278.00
| Facility | | $388.61 | $4,187.04 | $7,278.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $530.04 / $530.04 / $7,356.87
| Facility | | $530.04 | $530.04 | $7,356.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $388.61 / $547.65 / $878.26
| Facility | | $388.61 | $547.65 | $878.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,183.00 / $12,554.00 / $22,715.00
| Facility | | $3,183.00 | $12,554.00 | $22,715.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,867.35 / $21,221.36 / $24,313.15
| Facility | | $1,867.35 | $21,221.36 | $24,313.15 |