- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $585.59 / $4,846.00 / $14,790.05
| Facility | | $585.59 | $4,846.00 | $14,790.05 |
- 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
- $585.79 / $804.03 / $1,206.05
| Facility | | $585.79 | $804.03 | $1,206.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,933.95 / $5,933.95 / $7,034.12
| Facility | | $5,933.95 | $5,933.95 | $7,034.12 |
- 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 |