- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,187.85 / $2,453.00 / $16,042.00
| Facility | | $1,187.85 | $2,453.00 | $16,042.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,322.00 / $12,191.00 / $30,900.00
| Facility | | $4,322.00 | $12,191.00 | $30,900.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,160.26 / $1,508.34 / $1,740.39
| Facility | | $1,160.26 | $1,508.34 | $1,740.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,032.19 / $6,032.19 / $7,150.56
| Facility | | $6,032.19 | $6,032.19 | $7,150.56 |
- 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 |