- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,757.00 / $6,071.00 / $13,151.00
| Facility | | $2,757.00 | $6,071.00 | $13,151.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,981.70 / $2,779.67 / $4,627.91
| Facility | | $1,981.70 | $2,779.67 | $4,627.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $624.00 / $624.00 / $624.00
| Facility | | $624.00 | $624.00 | $624.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $627.04 / $980.49 / $6,239.00
| Facility | | $627.04 | $980.49 | $6,239.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.64 / $3,647.00 / $6,489.22
| Facility | | $1,000.64 | $3,647.00 | $6,489.22 |