- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $583.76 / $4,846.00 / $11,256.06
| Facility | | $583.76 | $4,846.00 | $11,256.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,021.00 / $4,010.00 / $32,252.00
| Facility | | $2,021.00 | $4,010.00 | $32,252.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $601.53 / $792.61 / $1,188.92
| Facility | | $601.53 | $792.61 | $1,188.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,705.12 / $4,705.12 / $5,577.46
| Facility | | $4,705.12 | $4,705.12 | $5,577.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,932.00 / $8,348.00 / $12,569.00
| Facility | | $3,932.00 | $8,348.00 | $12,569.00 |