- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $528.87 / $1,941.00 / $7,212.00
| Facility | | $528.87 | $1,941.00 | $7,212.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,796.00 / $6,340.00 / $30,900.00
| Facility | | $2,796.00 | $6,340.00 | $30,900.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $550.15 / $755.10 / $1,132.65
| Facility | | $550.15 | $755.10 | $1,132.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,705.12 / $4,705.12 / $5,577.46
| Facility | | $4,705.12 | $4,705.12 | $5,577.46 |
- 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 |