- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,462.33 / $7,907.31 / $11,356.00
| Facility | | $2,462.33 | $7,907.31 | $11,356.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,509.00 / $20,457.00 / $59,586.31
| Facility | | $10,509.00 | $20,457.00 | $59,586.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $843.00 / $843.00 / $843.00
| Facility | | $843.00 | $843.00 | $843.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,346.67 / $2,469.56 / $28,358.00
| Facility | | $2,346.67 | $2,469.56 | $28,358.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,838.00 / $14,587.00 / $21,600.00
| Facility | | $8,838.00 | $14,587.00 | $21,600.00 |