- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $583.95 / $1,792.71 / $11,093.00
| Facility | | $583.95 | $1,792.71 | $11,093.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,705.10 / $16,700.00 / $33,821.32
| Facility | | $2,705.10 | $16,700.00 | $33,821.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $585.04 / $803.01 / $1,204.52
| Facility | | $585.04 | $803.01 | $1,204.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,523.38 / $6,523.38 / $7,732.83
| Facility | | $6,523.38 | $6,523.38 | $7,732.83 |
- 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 |