- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,760.00 / $6,167.00 / $19,276.00
| Facility | | $1,760.00 | $6,167.00 | $19,276.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,114.00 / $5,777.00 / $16,513.00
| Facility | | $2,114.00 | $5,777.00 | $16,513.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,843.00 / $12,326.00 / $14,648.00
| Facility | | $5,843.00 | $12,326.00 | $14,648.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $809.21 / $1,345.30 / $26,542.00
| Facility | | $809.21 | $1,345.30 | $26,542.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,156.00 / $4,600.00 / $15,655.00
| Facility | | $2,156.00 | $4,600.00 | $15,655.00 |