- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $851.53 / $9,062.00 / $15,282.37
| Facility | | $851.53 | $9,062.00 | $15,282.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,954.85 / $4,452.39 / $7,388.84
| Facility | | $1,954.85 | $4,452.39 | $7,388.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $580.00 / $825.07 / $1,512.28
| Facility | | $580.00 | $825.07 | $1,512.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $742.53 / $936.83 / $1,595.31
| Facility | | $742.53 | $936.83 | $1,595.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,550.00 / $10,257.00 / $16,249.00
| Facility | | $1,550.00 | $10,257.00 | $16,249.00 |