- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $677.53 / $4,772.43 / $17,532.03
| Facility | | $677.53 | $4,772.43 | $17,532.03 |
- 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
- $674.07 / $925.19 / $1,387.79
| Facility | | $674.07 | $925.19 | $1,387.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,326.92 / $6,326.92 / $7,499.94
| Facility | | $6,326.92 | $6,326.92 | $7,499.94 |
- 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 |