- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $993.61 / $2,553.58 / $14,063.00
| Facility | | $993.61 | $2,553.58 | $14,063.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,641.00 / $8,512.00 / $16,307.00
| Facility | | $3,641.00 | $8,512.00 | $16,307.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $981.58 / $1,347.26 / $2,020.89
| Facility | | $981.58 | $1,347.26 | $2,020.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,909.74 / $3,909.74 / $4,634.62
| Facility | | $3,909.74 | $3,909.74 | $4,634.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,472.00 / $10,113.00 / $15,750.00
| Facility | | $4,472.00 | $10,113.00 | $15,750.00 |