- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $606.08 / $4,846.00 / $29,507.04
| Facility | | $606.08 | $4,846.00 | $29,507.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,146.00 / $9,219.00 / $30,900.00
| Facility | | $4,146.00 | $9,219.00 | $30,900.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $602.59 / $827.08 / $1,240.61
| Facility | | $602.59 | $827.08 | $1,240.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,206.34 / $6,206.34 / $7,357.01
| Facility | | $6,206.34 | $6,206.34 | $7,357.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,058.00 / $12,330.00 / $17,416.00
| Facility | | $5,058.00 | $12,330.00 | $17,416.00 |