- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,090.22 / $2,801.87 / $11,093.00
| Facility | | $1,090.22 | $2,801.87 | $11,093.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,587.48 / $29,200.00 / $56,650.00
| Facility | | $2,587.48 | $29,200.00 | $56,650.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,053.30 / $1,369.29 / $1,579.95
| Facility | | $1,053.30 | $1,369.29 | $1,579.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,908.05 / $19,908.05 / $23,599.04
| Facility | | $19,908.05 | $19,908.05 | $23,599.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,932.00 / $8,348.00 / $12,569.00
| Facility | | $3,932.00 | $8,348.00 | $12,569.00 |