- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $611.17 / $5,731.90 / $29,816.64
| Facility | | $611.17 | $5,731.90 | $29,816.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,473.00 / $7,890.00 / $30,900.00
| Facility | | $3,473.00 | $7,890.00 | $30,900.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $610.41 / $837.82 / $1,256.73
| Facility | | $610.41 | $837.82 | $1,256.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,047.21 / $6,047.21 / $7,168.37
| Facility | | $6,047.21 | $6,047.21 | $7,168.37 |
- 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 |