- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $540.05 / $2,318.00 / $11,093.00
| Facility | | $540.05 | $2,318.00 | $11,093.00 |
- 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
- $572.12 / $753.86 / $1,130.79
| Facility | | $572.12 | $753.86 | $1,130.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,511.62 / $6,511.62 / $7,718.88
| Facility | | $6,511.62 | $6,511.62 | $7,718.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,364.00 / $6,032.00 / $10,413.00
| Facility | | $3,364.00 | $6,032.00 | $10,413.00 |