- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,089.85 / $2,800.94 / $17,225.00
| Facility | | $1,089.85 | $2,800.94 | $17,225.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,573.00 / $15,432.00 / $40,869.00
| Facility | | $4,573.00 | $15,432.00 | $40,869.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,128.04 / $1,486.35 / $2,229.53
| Facility | | $1,128.04 | $1,486.35 | $2,229.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,602.95 / $19,602.95 / $23,237.37
| Facility | | $19,602.95 | $19,602.95 | $23,237.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,475.00 / $14,307.00 / $19,962.00
| Facility | | $6,475.00 | $14,307.00 | $19,962.00 |