- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $589.87 / $9,062.00 / $18,276.00
| Facility | | $589.87 | $9,062.00 | $18,276.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,871.40 / $6,324.60 / $10,943.81
| Facility | | $2,871.40 | $6,324.60 | $10,943.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $715.00 / $715.00 / $1,985.43
| Facility | | $715.00 | $715.00 | $1,985.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $404.00 / $549.00 / $939.55
| Facility | | $404.00 | $549.00 | $939.55 |
- 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 |