- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $983.44 / $9,622.00 / $18,276.00
| Facility | | $983.44 | $9,622.00 | $18,276.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,120.54 / $5,808.35 / $9,670.36
| Facility | | $3,120.54 | $5,808.35 | $9,670.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,130.00 / $1,130.00 / $1,985.43
| Facility | | $1,130.00 | $1,130.00 | $1,985.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $643.00 / $906.19 / $1,385.76
| Facility | | $643.00 | $906.19 | $1,385.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,258.00 / $10,257.00 / $16,249.00
| Facility | | $1,258.00 | $10,257.00 | $16,249.00 |