- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $661.69 / $6,051.18 / $9,938.87
| Facility | | $661.69 | $6,051.18 | $9,938.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,796.00 / $6,422.00 / $30,900.00
| Facility | | $2,796.00 | $6,422.00 | $30,900.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $640.65 / $832.85 / $1,262.60
| Facility | | $640.65 | $832.85 | $1,262.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,408.51 / $6,408.51 / $7,596.65
| Facility | | $6,408.51 | $6,408.51 | $7,596.65 |
- 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 |