- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,092.58 / $9,622.00 / $18,276.00
| Facility | | $1,092.58 | $9,622.00 | $18,276.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,821.65 / $19,041.73 / $34,283.46
| Facility | | $7,821.65 | $19,041.73 | $34,283.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,083.05 / $1,130.00 / $14,207.68
| Facility | | $1,083.05 | $1,130.00 | $14,207.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,023.00 / $1,319.00 / $2,097.09
| Facility | | $1,023.00 | $1,319.00 | $2,097.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,028.00 / $19,526.00 / $24,161.00
| Facility | | $3,028.00 | $19,526.00 | $24,161.00 |