- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $687.64 / $5,047.47 / $14,967.45
| Facility | | $687.64 | $5,047.47 | $14,967.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,529.00 / $7,890.00 / $30,900.00
| Facility | | $3,529.00 | $7,890.00 | $30,900.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $599.30 / $822.58 / $1,233.86
| Facility | | $599.30 | $822.58 | $1,233.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,159.66 / $6,159.66 / $7,301.68
| Facility | | $6,159.66 | $6,159.66 | $7,301.68 |
- 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 |