- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,392.00 / $4,856.00 / $14,100.00
| Facility | | $1,392.00 | $4,856.00 | $14,100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,426.66 / $29,430.37 / $46,509.20
| Facility | | $18,426.66 | $29,430.37 | $46,509.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,785.56 / $7,785.56 / $7,785.56
| Facility | | $7,785.56 | $7,785.56 | $7,785.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $755.18 / $1,079.91 / $8,986.49
| Facility | | $755.18 | $1,079.91 | $8,986.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,624.00 / $6,334.00 / $10,376.00
| Facility | | $1,624.00 | $6,334.00 | $10,376.00 |